Does older adults' use of social care influence their healthcare utilisation? A systematic review of international evidence.
Aged
Cross-Sectional Studies
Geriatric Assessment
/ statistics & numerical data
Hospitalization
/ statistics & numerical data
Humans
Male
Middle Aged
Observational Studies as Topic
Patient Acceptance of Health Care
/ statistics & numerical data
Primary Health Care
/ organization & administration
Qualitative Research
Social Networking
Social Support
access
health care
older people
social care
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
28
01
2019
revised:
21
05
2019
accepted:
22
05
2019
pubmed:
18
7
2019
medline:
4
6
2020
entrez:
18
7
2019
Statut:
ppublish
Résumé
Improving our understanding of the complex relationship between health and social care utilisation is vital as populations age. This systematic review aimed to synthesise evidence on the relationship between older adults' use of social care and their healthcare utilisation. Ten databases were searched for international literature on social care (exposure), healthcare use (outcome) and older adults (population). Searches were carried out in October 2016, and updated May 2018. Studies were eligible if they were published after 2000 in a high income country, examined the relationship between use of social care and healthcare utilisation by older adults (aged ≥60 years), and controlled for an indicator of need. Study quality and bias were rated using the National Institute of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Study data were extracted and a narrative synthesis was conducted. Data were not suitable for quantitative synthesis. Thirteen studies were identified from 12,065 citations. Overall, the quality and volume of evidence was low. There was limited evidence to suggest that longer lengths of stay in care homes were associated with a lower risk of inpatient admissions. Residents of care homes with onsite nursing had fewer than expected admissions to hospital, compared to people in care homes without nursing, and adjusting for need. Evidence for other healthcare use outcomes was even more limited and heterogeneous, with notable gaps in primary care. We conclude that older adults' use of care homes may moderate inpatient admissions. In particular, the presence of registered nurses in care homes may reduce the need to transfer residents to hospital. However, further evidence is needed to add weight to this conclusion. Future research should build on this evidence and address gaps regarding the influence of community based social care on older adults' healthcare use. A greater focus on primary care outcomes is imperative.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e651-e662Subventions
Organisme : National Institute of Health Research School for Primary Care Research
Pays : International
Organisme : National Institute for Health Research School for Primary Care Research (NIHR SPCR)
Pays : International
Organisme : Department of Health
Pays : United Kingdom
Informations de copyright
© 2019 John Wiley & Sons Ltd.
Références
Abegunde, D., Kabo, I. A., Sambisa, W., Akomolafe, T., Orobaton, N., Abdulkarim, M., & Sadauki, H. (2015). Availability, utilization, and quality of emergency obstetric care services in Bauchi State, Nigeria. International Journal of Gynecology & Obstetrics, 128(3), 251-255. https://doi.org/10.1016/j.ijgo.2014.09.029
Aday, L. A., & Andersen, R. (1974). A framework for the study of access to medical care. Health Services Research, 9(3), 208-220.
Age UK (2017). Briefing: Health and care of older people in England 2017. Retrieved from http://www.ageuk.org.uk/Documents/EN-GB/For-professionals/Research/The_Health_and_Care_of_Older_People_in_England_2016.pdf?dtrk=true
Amador, S., Goodman, S., King, D., Machen, I., Elmore, N., Mathie, E., & Iliffe, S. (2014). Emergency ambulance service involvement with residential care homes in the support of older people with dementia: An observational study. [R]. BMC Geriatrics, 14(1), https://doi.org/10.1186/1471-2318-14-95
Andersen, R. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1-10. https://doi.org/10.2307/2137284
Baird, B., Charles, A., Honeyman, M., Maguire, D., & Das, P. (2016). Understanding pressures in general practice. The King's Fund. Retrieved from https://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/Understanding-GP-pressures-Kings-Fund-May-2016.pdf
Bardsley, M., Georghiou, T., Chassin, L., Lewis, G., Steventon, A., & Dixon, J. (2012). Overlap of hospital use and social care in older people in England. Journal of Health Services Research & Policy, 17(3), 133-139. https://doi.org/10.1258/jhsrp.2011.010171
Barker, R. O., Craig, D., Spiers, G., Kunonga, P., & Hanratty, B. (2018). Who should deliver primary care in long-term care facilities to optimize resident outcomes? A systematic review. Journal of the American Medical Directors Association, 19(12), 1069-1079. https://doi.org/10.1016/j.jamda.2018.07.006
Becker, M. A., Boaz, T. L., Andel, R., Gum, A. M., & Papadopoulos, A. S. (2010). Predictors of preventable nursing home hospitalizations: The role of mental disorders and dementia. American Journal of Geriatric Psychiatry, 18, https://doi.org/10.1097/JGP.0b013e3181b2145a
Blackburn, J., Locher, J. L., & Kilgore, M. L. (2016). Comparison of long-term care in nursing homes versus home health: Costs and outcomes in Alabama. Gerontologist, 56(2), 215-221. https://doi.org/10.1093/geront/gnu021
Blake, S. C., Thorpe, K. E., & Howell, K. G. (2003). Access to health care in the United States. In M. Gulliford & M. Morgan (Eds.), Access to health care (pp. 123-142). London, UK: Routledge.
British Medical Association (2018). International models of general practice. Retrieved from https://www.bma.org.uk/collective-voice/policy-and-research/nhs-structure-and-delivery/primary-and-community-care/international-models-of-general-practice
Buscemi, N., Hartling, L., Vandermeer, B., Tjosvold, L., & Klassen, T. P. (2006). Single data extraction generated more errors than double data extraction in systematic reviews. Journal of Clinical Epidemiology, 59(7), 697-703. https://doi.org/10.1016/j.jclinepi.2005.11.010
Care Quality Commission (2014). The stability of the care market and market oversight in England. Retrieved from http://www.cqc.org.uk/sites/default/files/201402-market-stability-report.pdf
Care Quality Commission (2016). The state of health care and adult social care in England 2015/16 (CQC-348-1300-102016). Retrieved from http://www.cqc.org.uk/sites/default/files/20161013_stateofcare1516_summary.pdf
Carter, M. W. (2003). Factors associated with ambulatory care-sensitive hospitalizations among nursing home residents. Journal of Aging & Health, 15(2), 295-331. https://doi.org/10.1177/0898264303015002001
Carter, M. W., & Porell, F. W. (2005). Vulnerable populations at risk of potentially avoidable hospitalizations: The case of nursing home residents with Alzheimer's disease. American Journal of Alzheimer's Disease & Other Dementias, 20(6), 349-358. https://doi.org/10.1177/153331750502000605
Carter, M. W., & Porell, F. W. (2006). Nursing home performance on select publicly reported quality indicators and resident risk of hospitalization: Grappling with policy implications. Journal of Aging & Social Policy, 18(1), 17-39. https://doi.org/10.1300/J031v18n01_02
Centre for Policy on Ageing (2014). The care and support of older people - An international perspective. Retrieved from https://www.ageuk.org.uk/Documents/EN-GB/For-professionals/Research/CPA-International_care_and_support_of_older_people.pdf?dtrk=true
Centre for Reviews and Dissemination (2009). Systematic reviews: CRD's guidance for undertaking reviews in health care. Retrieved from https://www.york.ac.uk/crd/SysRev/!SSL!/WebHelp/TITLEPAGE.htm
Chappell, N. L., Dlitt, B. H., Hollander, M. J., Miller, J. A., & McWilliam, C. (2004). Comparative costs of home care and residential care. Gerontologist, 44(3), 389-400. https://doi.org/10.1093/geront/44.3.389
Charlesworth, A., Firth, Z., Fisher, R., Gerschlick, B., Gray, H., Roberts, A. … Watt, T. (2017). The social care funding gap: Briefing. Retrieved from London: https://www.health.org.uk/sites/default/files/SocialCareFundingGap.pdf
Charlesworth, A., & Johnson, P. (2018). Securing the future: Funding health and social care to the 2030s. Retrieved from London: https://www.ifs.org.uk/uploads/publications/comms/R143%20executive%20summary.pdf
Clarfield, A. M., Bergman, H., & Kane, R. (2001). Fragmentation of care for frail older people; an international problem. Experience from three countries: Israel, Canada, and the United States. Journal of the American Geriatric Society, 49. doi:https://doi.org/10.1046/j.1532-5415.2001.49285.x
Croucher, K., & Rhodes, P. (2006). Testing consumer views on paying for long-term care. Retrieved from https://www.jrf.org.uk/report/testing-consumer-views-paying-long-term-care
Davey, A., & Patsios, D. (1999). Formal and informal community care to older adults: Comparative analysis of the United States and Great Britain. Journal of Family and Economic Issues, 20(3), 271-299. https://doi.org/10.1023/a:1022957426159
Depalma, G., Xu, H., Covinsky, K. E., Craig, B. A., Stallard, E., Thomas, J. 3rd, & Sands, L. P. (2013). Hospital readmission among older adults who return home with unmet need for ADL disability. Gerontologist, 53(3), 454-461. https://doi.org/10.1093/geront/gns103
Department of Health. (2012). National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care. Retrieved from https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/213137/National-Framework-for-NHS-CHC-NHS-FNC-Nov-2012.pdf
Deraas, T. S., Berntsen, G. R., Hasvold, T., & Førde, O. H. (2011). Does long-term care use within primary health care reduce hospital use among older people in Norway? A national five-year population-based observational study. BMC Health Services Research, 11(287). https://doi.org/10.1186/1472-6963-11-287
Fernandez, J.-L., & Forder, J. (2008). Consequences of local variations in social care on the performance of the acute health care sector. Applied Economics, 40(12), 1503-1518. https://doi.org/10.1080/00036840600843939
Forder, J. (2009). Long-term care and hospital utilisation by older people: An analysis of substitution rates. Health Economics, 18(11), 1322-1338. https://doi.org/10.1002/hec.1438
Galiana, J., & Haseltine, W. A. (2019). Long-term care financing. In J. Galiana & W. A. Haseltine (Eds.), Aging well: Solutions to the most pressing global challenges of aging (pp. 19-27). Singapore: Springer Singapore.
Goddard, M., & Smith, P. (2001). Equity of access to health care services: Theory and evidence from the UK. Social Science & Medicine, 53(9), 1149-1162. https://doi.org/10.1016/S0277-9536(00)00415-9
Gruneir, A., Bronskill, S., Bell, C., Gill, S., Schull, M., Ma, X., … Rochon, P. A. (2012). Recent health care transitions and emergency department use by chronic long term care residents: A population-based cohort study. Journal of the American Medical Directors Association, 13(3), 202-206. https://doi.org/10.1016/j.jamda.2011.10.001
Gruneir, A., Miller, S. C., Feng, Z., Intrator, O., & Mor, V. (2008). Relationship between state medicaid policies, nursing home racial composition, and the risk of hospitalization for black and white residents. Health Services Research, 43(3), 869-881. https://doi.org/10.1111/j.1475-6773.2007.00806.x
Gruneir, A., Miller, S. C., Intrator, O., & Mor, V. (2007). Hospitalization of nursing home residents with cognitive impairments: The influence of organizational features and state policies. Gerontologist, 47(4), 447-456. https://doi.org/10.1093/geront/47.4.447
Gulliford, M., Figueroa-Munoz, J., & Morgan, M. (2003). Meaning of 'access' in healthcare. In M. C. Gulliford & M. Morgan (Eds.), Acces to health care (pp. 1-12). London, UK: Routledge.
Gulliford, M., Figueroa-Munoz, J., Morgan, M., Hughes, D., Gibson, B., Beech, R., & Hudson, M. (2002). What does 'access to health care' mean? Journal of Health Services Research & Policy, 7(3), 186-188. https://doi.org/10.1258/135581902760082517
Guzman-Castillo, M., Ahmadi-Abhari, S., Bandosz, P., Capewell, S., Steptoe, A., Singh-Manoux, A., … O'Flaherty, M. (2017). Forecasted trends in disability and life expectancy in England and Wales up to 2025: A modelling study. The Lancet Public Health, 2(7), e307-e313. https://doi.org/10.1016/S2468-2667(17)30091-9
Hanratty, B., Lowson, E., Holmes, L., Grande, G., Addington-Hall, J., Payne, S., & Seymour, J. (2012). Funding health and social services for older people - A qualitative study of care recipients in the last year of life. Journal of the Royal Society of Medicine, 105(5), 201-207. https://doi.org/10.1258/jrsm.2012.110189
Hass, Z., DePalma, G., Craig, B. A., Xu, H., & Sands, L. P. (2017). Unmet need for help with activities of daily living disabilities and emergency department admissions among older medicare recipients. Gerontologist, 57(2), 206-210. https://doi.org/10.1093/geront/gnv142
Health and Social Care Committee, and Housing, Communities and Local Government Committees. (2018). 7th Report - Long term funding of adult social care: First joint report of the Health and Social Care and Housing, Communities and Local Government Committees HC 768. Retrieved from https://publications.parliament.uk/pa/cm201719/cmselect/cmcomloc/768/76805.htm#_idTextAnchor013
Higgins, J. P. T., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions. Retrieved from http://handbook.cochrane.org/front_page.htm
Hollander, M. J., & Chappell, N. L. (2007). A comparative analysis of costs to government for home care and long-term residential care services, standardized for client care needs. Canadian Journal on Aging, 26(Suppl 1), 149-161. https://doi.org/10.3138/cja.26.suppl_1.149
Humphries, R., & Appleby, J. (2015). Social care: A future we do not yet know. Retrieved from https://www.kingsfund.org.uk/blog/2015/11/social-care-future
Huntley, A., Lasserson, D., Wye, L., Morris, R., Checkland, K., England, H. … Purdy, S. (2014). Which features of primary care affect unscheduled secondary care use? A systematic review. British Medical Journal Open, 4(5), e004746. https://doi.org/10.1136/bmjopen-2013-004746
Huntley, A., Thomas, R., Mann, M., Huws, D., Elwyn, G., Paranjothy, S., & Purdy, S. (2013). Is case management effective in reducing the risk of unplanned hospital admissions for older people? A systematic review and meta-analysis. Family Practice, 30(3), 266-275. https://doi.org/10.1093/fampra/cms081
Hutt, E., Elder, S. J., Fish, R., & Min, S. J. (2011). Regional variation in mortality and subsequent hospitalization of nursing residents with heart failure. Journal of the American Medical Directors Association, 12(8), 595-601. https://doi.org/10.1016/j.jamda.2010.08.008
Intrator, O., Castle, N. G., & Mor, V. (1999). Facility characteristics associated with hospitalization of nursing home residents: Results of a national study. Medical Care, 37(3), 228-237. https://doi.org/10.1097/00005650-199903000-00003
Intrator, O., Grabowski, D. C., Zinn, J., Schleinitz, M., Feng, Z., Miller, S., & Mor, V. (2007). Hospitalization of nursing home residents: The effects of states' Medicaid payment and bed-hold policies. Health Services Research, 42(4), 1651-1671. https://doi.org/10.1111/j.1475-6773.2006.00670.x
Intrator, O., & Mor, V. (2004). Effect of state Medicaid reimbursement rates on hospitalizations from nursing homes. Journal of the American Geriatrics Society, 52(3), 393-398. https://doi.org/10.1111/j.1532-5415.2004.52111.x
Intrator, O., Zinn, J., & Mor, V. (2004). Nursing home characteristics and potentially preventable hospitalizations of long-stay residents. Journal of the American Geriatrics Society, 52(10), 1730-1736. https://doi.org/10.1111/j.1532-5415.2004.52469.x
Iparraguirre, J. L. (2017). Reductions in local government spending on community-based social care and unmet social care needs of older people in England. The Journal of the Economics of Ageing, https://doi.org/10.1016/j.jeoa.2017.07.001
Kuhlthau, K. A. (2011). Measures of availability of Health Care Services for Children. Academic Pediatrics, 11(3, Suppl.), S42-S48. doi: https://doi.org/10.1016/j.acap.2010.11.007
Lipszyc, B., Sail, E., & Xavier, A. (2012). Long-term care: Need, use and expenditure in the EU-27: Economic Papers 469. Retrieved from http://ec.europa.eu/economy_finance/publications/economic_paper/2012/pdf/ecp469_en.pdf
Moffatt, S., & Higgs, P. (2007). Charity or entitlement? Generational habitus and the welfare state among older people in North-east England. Social Policy & Administration, 41(5), 449-464. https://doi.org/10.1111/j.1467-9515.2007.00567.x
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. & The PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed1000097
Mosca, I., van der Wees, P. J., Mot, E. S., Wammes, J. J. G., & Jeurissen, P. P. T. (2016). Sustainability of long-term care: Puzzling tasks ahead for policy-makers. International Journal of Health Policy and Management, 6(4), 195-205. https://doi.org/10.15171/ijhpm.2016.109
National Institute of Health and Care Excellence (2015). Transition between inpatient hospital settings and community or care home settings for adults with social care needs: NICE guideline: Full version, November 2015. Retrieved from https://www.nice.org.uk/guidance/ng27/evidence/full-guideline-pdf-2185185565
National Institutes of Health (2014). Quality assessment tool for observational cohort and cross-sectional studies. Retrieved from https://www.nhlbi.nih.gov/health-pro/guidelines/in-develop/cardiovascular-risk-reduction/tools/cohort
Office for National Statistics (2017). Adult social care activity and finance report: Detailed analysis. Retrieved from https://files.digital.nhs.uk/pdf/2/m/adult_social_care_activity_and_finance_report.pdf
Oliver, A., & Mossialos, E. (2004). Equity of access to health care: Outlining the foundations for action. Journal of Epidemiology and Community Health, 58(8), 655-658. https://doi.org/10.1136/jech.2003.017731
Organisation for Economic and Co-operative Development. (2011a). Country classification 2016. Retrieved from http://www.oecd.org/trade/xcred/2016-ctryclass-as-of-26-july-2016-rev1.pdf
Organisation for Economic and Co-operative Development. (2011b). Help wanted? Providing and paying for long-term care. Retrieved from http://www.oecd.org/els/health-systems/47885662.pdf
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan-a web and mobile app for systematic reviews. Systematic Reviews, 5(1), 210. https://doi.org/10.1186/s13643-016-0384-4
Overton, L., & Fox O'Mahony, L. (2016). Understanding attitudes to paying for care amongst equity release consumers: Citizenship, solidarity and the ‘hardworking homeowner’. Journal of Social Policy, 46(1), 49-67. https://doi.org/10.1017/S0047279416000416
Purdy, S. (2010). Avoiding hospital admissions: What does the research evidence say? London: The King's Fund.
Reeves, D., & Baker, D. (2004). Investigating relationships between health need, primary care and social care using routine statistics. Health & Place, 10(2), 129-140. https://doi.org/10.1016/S1353-8292(03)00053-4
Sands, L. P., Wang, Y., McCabe, G. P., Jennings, K., Eng, C., Covinsky, K. E. (2006). Rates of acute care admissions for frail older people living with met versus unmet activity of daily living needs. Journal of the American Geriatrics Society, 54, 339-344. https://doi.org/10.1111/j.1532-5415.2005.00590.x
Sarkisian, C. A., Hays, R. D., & Mangione, C. M. (2002). Do older adults expect to age successfully? The association between expectations regarding aging and beliefs regarding healthcare seeking among older adults. Journal of the American Geriatrics Society, 50(11), 1837-1843. https://doi.org/10.1046/j.1532-5415.2002.50513.x
Sloane, P. D., Zimmerman, S., Gruber-Baldini, A. L., Hebel, J. R., Magaziner, J., & Konrad, T. R. (2005). Health and functional outcomes and health care utilization of persons with dementia in residential care and assisted living facilities: Comparison with nursing homes. The Gerontologist, 45(suppl_1), 124-134. https://doi.org/10.1093/geront/45.suppl_1.124
Social Care Institute of Excellence. (2015). Eligibility criteria for adults with care and support needs under the Care Act 2014. Retrieved from https://www.scie.org.uk/care-act-2014/assessment-and-eligibility/eligibility/criteria-adults-care.asp
Spiers, G., Matthews, F. E., Moffatt, S., Barker, R., Jarvis, H., Stow, D., … Hanratty, B. (2019). Impact of social care supply on healthcare utilisation by older adults: A systematic review and meta-analysis. Age & Ageing, 48, 1. https://doi.org/10.1093/ageing/afy147.
Tennstedt, S. L., Crawford, S. L., & McKinlay, J. B. (1993). Is family care on the decline? A longitudinal investigation of the substitution of formal long-term care services for informal care. The Milbank Quarterly, 71(4), 601-624. https://doi.org/10.2307/3350421
The King's Fund. (2014). A new settlement for health and social care. Final Report. Commission on the Future of Health and Social Care in England. Retrieved from London: https://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/Commission%20Final%20%20interactive.pdf
The Press Association. (2016). Leading medics heap pressure on government to adequately fund social care. Care Appointments. Retrieved from http://www.careappointments.co.uk/care-news/england/item/40844-leading-medics-heap-pressure-on-government-to-adequately-fund-social-care
UN Women Policy Brief Series. (2017). Long-term care for older people: A new global gender priority. Retrieved from http://www.unwomen.org/-/media/headquarters/attachments/sections/library/publications/2017/un-women-policy-brief-09-long-term-care-for-older-people-en.pdf?la=en&vs=1608
Victor, C. R., Healy, J., Thomas, A., & Seargeant, J. (2000). Older patients and delayed discharge from hospital. Health and Social Care in the Community, 8(6), 443-452. https://doi.org/10.1046/j.1365-2524.2000.00270.x
World Health Organization (2015). World report on ageing and health. World Health Organization, ISSN, 9789241565042.
Wysocki, A., Kane, R. L., Dowd, B., Golberstein, E., Lum, T., & Shippee, T. (2014). Hospitalization of elderly Medicaid long-term care users who transition from nursing homes. Journal of the American Geriatrics Society, 62(1), 71-78. https://doi.org/10.1111/jgs.12614