30 Integrated community-based care for home-dwelling older people

A strong long-term care system is needed to allow older people with functional dependencies to remain in their homes for as long as possible. The study implements and evaluates a nurse-led, integrated and community-based care model with the aim of improving the quality and efficiency of care at home.

  • Project description (ongoing research project)

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    The study examines the risk for hospitalisation or institutionalisation of home-dwelling older people throughout the Canton of Basel-Landschaft as well as the actual admission rates and the health-related quality of life over time. Data from the two care regions in which the new model of care will be implemented will be compared with corresponding data from the other parts of the canton and conclusions will be drawn regarding the quality of care and the costs of the model. In addition, the geographical distribution of mortality, morbidity and disability among home-dwelling older people will be estimated and projected for the next ten years to determine the future needs of this target group.

  • Background

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    Most older people prefer to live in their homes for as long as possible. Since they are often functionally limited and suffer from multiple chronic conditions, this often requires the involvement of a large number of care providers. However, the services provided are often neither centralised nor coordinated, which can negatively influence the quality and cost of care for older people.

  • Aim

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    The aim of the study is to assess the prevalence of multi-morbid older people living at home and their risk for hospitalisation or institutionalisation, and to implement and evaluate a nurse-led, integrated, community-based model of care in two care regions in the Canton of Basel-Landschaft. The model aims to improve the quality as well as the efficiency of care for home-dwelling older people suffering from multiple chronic conditions.

  • Relevance

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    The study combines implementation science and public health methodologies. This way, the study will drive change in the structure of care for home-dwelling older people in the Canton of Basel-Landschaft. Since integrated, community-based models of care can delay hospitalisation or institutionalisation, they contribute to reducing the rise in health care costs.

  • Original title

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    INSPIRE: Implementation of an integrated community-based care program for home-dwelling senior citizens