[Current status of homemaker services].
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Allocation of home-help for the elderly is often unsatisfactory, because of the lack of objective assessment of the potential needs. The PAQUID project, a prospective study of 2,792 residents of the Gironde, aged 65 and over, can be used for the determination of the potential need for home-help, and its level of satisfaction in the area. The need is defined by two conditions: living alone and beeing dependent for at least one of 5 Instrumental Activities of Daily Living of the Lawton's scale. The coverage rate is 48.7% and the targetting rate is 45.2%. These rates show a high level of potential needs which are not satisfied especially in rural areas. This approach can be helpful in the planning of home services for the aged.
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This article deals with the division of tasks between formal and informal networks of the elderly. Research has been done on the kind and degree of participation in the care of elderly by the elderly themselves, the role of the 'most important' persons in their social network as well as on the role of family home service. Sixty-seven clients of the '7 X 24-hours' home help in Velp were involved. The effect of household composition was also investigated. As regards to three different kinds of activities, the results indicate a division of tasks between formal and informal networks; clients themselves perform especially ADL-activities, informal caregivers supporting/supervising activities and the home help household activities. Furthermore it appears that of the total number of activities performed by home help nearly three quarters is neither performed by the elderly themselves nor by the 'most important' person in their social network.
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The purpose of this study was to examine the impact of geriatric day care and homemaker services on patient outcomes. Patients were randomly assigned to receive the experimental services in three study samples. In comparing outcomes between the experimental and control groups, it was found that there were significant differences in physical functioning and activity level for the day care samples, in physical functioning and contentment level for the homemaker study sample, and in all of these outcome measures for the combined services group. Among users of the experimental services, increased use of the services was associated with improved outcomes of care. Multivariate analysis of data showed that factors other than the use of the experimental services were more effective in explaining variation in outcomes. Significant factors that affected all four outcome measures in both the day care and homemaker study were primary diagnosis, impairment prognosis, and number of inpatient hospital days.
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