PMID: 9630131Jun 18, 1998Paper

Compliance of frail elderly with health services prescribed at discharge from an acute-care geriatric ward

Medical Care
N LeducS Kogan

Abstract

A model of compliance by frail elderly with prescribed healthcare services was developed and tested. The discrepancy between primary care, geriatric and community health center (CLSC) services prescribed at discharge after comprehensive geriatric evaluation and treatment was measured, as were those services actually used during a 6-week interval (compliance). In this model, compliance was directly related to elders' intention to adhere to prescribed services, but this relationship was modified by organizational factors, reinforcing factors, and changes in health status during the observation period. Intention to adhere resulted from individual and reinforcing factors existing before discharge. This model was tested on 211 patients discharged to community settings from an acute-care hospital geriatrics ward. Information was obtained through interviews with the patients or care givers and from hospital, outpatient, and local community health center charts. On average, patients used 56.9% of services prescribed; 13% of patients did not use any of the services prescribed for them, whereas 22% used all the services prescribed. Intention to adhere was influenced by patients' perception of the benefits of prescribed services and by th...Continue Reading

References

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Citations

Feb 24, 2001·Disease-a-month : DM·C Dimou
May 25, 2012·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Krista Bray JenkynMark Speechley
Mar 11, 2004·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·M Robin DiMatteo
Sep 18, 2001·Journal of the American Geriatrics Society·P Russo-MagnoS Rounds
Feb 22, 2014·The Gerontologist·Kara E MacleodWilliam A Satariano
Aug 5, 2015·Contemporary Clinical Trials·Alex D FedermanUNKNOWN SAMBA investigators and development team:
Sep 22, 2018·PloS One·Michael Mbithi MutuaThomas Noel Ochieng Achia
Apr 18, 2020·Research in Social & Administrative Pharmacy : RSAP·Guncag OzavciElizabeth Manias
May 15, 2021·Journal of General Internal Medicine·Hyo Jung TakLi-Wu Chen

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