Most developed countries are facing the problem of increasing number of elderly. In an aging society, it is highly desirable to reduce the need for medical services by maintaining the health of the population. The need of health care and management for the elderly is an urgent issue. Home has become the centerpiece of health delivery system today. Intensive monitoring of health parameters in th...

OBJECTIVES To investigate the effects of a home-based one-year case management intervention in older people with functional dependency and repeated contact with the health care services on self-reported falls and self-reported injurious falls. METHODS The study was a randomized controlled trial with repeated follow-ups. The sample (n = 153) was consecutively and randomly assigned to the inter...

OBJECTIVE To assess whether an intervention based on nurse home visits including alert buttons (NV+AB) is effective in reducing frailty compared to nurse home visits alone (NV-only) and usual care (control group) for older adults. DESIGN Unblinded, randomized, controlled trial. SETTING Insured population covered by the Mexican Social Security Institute living in the city of Ensenada, Baja C...

BACKGROUND As individuals age, they are more likely to experience increasing frailty and more frequent use of hospital services. First, we explored whether initiating home-based primary care in a frail homebound cohort, influenced hospital use. Second, we explored whether initiating regular home care support for personal care with usual primary care, in a second somewhat less frail cohort, infl...

People’s activities are often monotonous over long periods of time, e.g., sitting at a desk and working with a computer. Together with an inactive lifestyle, this leads to muscle weakness, postural faults and movement dysfunction, thereby increasing the likelihood of musculoskeletal problems. Ever more young people are affected by such musculoskeletal problems. Strength and weight training can ...

PURPOSE As funds have increased for the provision of in-home care, so too have concerns about the quality of services. In response, care management agencies and home-care providers have developed an array of monitoring activities designed to ensure the quality of services. In this article, we show how an area agency on aging both collected and used data to improve the quality of a network of in...