Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Wysocki A, Butler M, Kane RL, Kane RA, Shippee T, Sainfort F. Long-term care for older adults: a review of home and community-based services versus institutional care. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 81. 2012 Authors' objectives To compare long-term care (LTC) for older adults delivered through Home and Community-Based Services (HCBS) with care provided in nursing homes (NHs) by evaluating (1) the characteristics of older adults served through HCBS and in NHs; (2) the impact of HCBS and NH care on outcome trajectories of older adults; and (3) the per person costs of HCBS and NH care, costs for other services such as acute care, and family burden. Authors' conclusions Determining whether and how the delivery of LTC through HCBS versus NHs affects outcome trajectories of older adults is difficult due to scant evidence and the methodological limitations of studies reviewed. More and better research is needed to draw robust conclusions about how the setting of care delivery influences the outcomes and costs of LTC for older adults. Indexing Status Subject indexing assigned by CRD MeSH Health Services for the Aged; Homes for the Aged; Long-Term Cares; Nursing Homes Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence AHRQ, Center for Outcomes and Evidence Technology Assessment Program, 540 Gaither Road, Rockville, MD 20850, USA Email: AHRQTAP@ahrq.hhs.gov AccessionNumber 32013000235 Date abstract record published 17/04/2013 |