The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
Effectiveness of home based support for older people: systematic review and meta-analysisCommentary: When, where, and why do preventive home visits work?
Open accessAbstract
Objective: To evaluate the effectiveness of home visiting programmes that offer health promotion and preventive care to older people. Design: Systematic review and meta-analysis of 15 studies of home visiting. Participants: Older people living at home, including frail older people at risk of adverse outcomes. Outcome measures: Mortality, admission to hospital, admission to institutional care, functional status, health status. Results: Home visiting was associated with a significant reduction in mortality. The pooled odds ratio for eight studies that assessed mortality in members of the general elderly population was 0.76 (95% confidence interval 0.64 to 0.89). Five studies of home visiting to frail older people who were at risk of adverse outcomes also showed a significant reduction in mortality (0.72; 0.54 to 0.97). Home visiting was associated with a significant reduction in admissions to long term care in members of the general elderly population (0.65; 0.46 to 0.91). For three studies of home visiting to frail, “at risk” older people, the pooled odds ratio was 0.55 (0.35 to 0.88). Meta-analysis of six studies of home visiting to members of the general elderly population showed no significant reduction in admissions to hospital (odds ratio 0.95; 0.80 to 1.09). Three studies showed no significant effect on health (standardised effect size 0.06; −0.07 to 0.18). Four studies showed no effect on activities of daily living (0.05; −0.07 to 0.17). Conclusion: Home visits to older people can reduce mortality and admission to long term institutional care. What is already known on this topic: The benefits of regular, preventive home visits to older people are the subject of controversy A recent systematic review found no clear evidence that preventive home visits were effective What this study adds: This meta-analysis of 15 trials shows that home visiting can reduce mortality and admission to institutional care among older people
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Cites
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Cited by
CATTAN, M., WHITE, M., BOND, J., & LEARMOUTH, A. (2005) · Ageing and Society · doi:10.1017/s0144686x04002594 · Cited by 1,038
Beswick, A. D., Rees, K., Dieppe, P., Ayis, S., Gooberman-Hill, R., Horwood, J., & Ebrahim, S. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60342-6 · Cited by 780
Stuck, A. E., Egger, M., Hammer, A., Minder, C. E., & Beck, J. C. (2002) · JAMA · doi:10.1001/jama.287.8.1022 · Cited by 675
Self-citationMorrison, R. S., & Meier, D. E. (2004) · New England Journal of Medicine · doi:10.1056/nejmcp035232 · Cited by 542
The Role of Healthcare Robots for Older People at Home: A Review
Robinson, H., MacDonald, B., & Broadbent, E. (2014) · International Journal of Social Robotics · doi:10.1007/s12369-014-0242-2 · Cited by 459
Metadata
- Authors
- Elkan, R., Egger, M., Kendrick, D., Dewey, M., Hewitt, M., Robinson, J., Blair, M., Williams, D., & Brummell, K.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2001-09-29
- Volume
- 323
- Issue
- 7315
- Pages
- 719
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- OpenAlex
- W2124386684
- Cited by
- 489
- References
- 39
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Elkan, R., Egger, M., Kendrick, D., Dewey, M., Hewitt, M., Robinson, J., Blair, M., Williams, D., & Brummell, K. (2001). Effectiveness of home based support for older people: systematic review and meta-analysisCommentary: When, where, and why do preventive home visits work? BMJ. https://doi.org/10.1136/bmj.323.7315.719
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