Cost and effectiveness of home care services modalities for the older population
integrative literature review
DOI:
https://doi.org/10.5935/1415-2762-20210022Keywords:
Home Care Agencies, Home Care Services, Health Care Costs, Costs and Cost Analysis, Health Expenditures, AgedAbstract
Objective: to analyze the modalities of AD services aimed at the older people, identifying the offer
of services at home and its results regarding costs and effectiveness. Method: literature review
carried out in the databases of Literatura Latino-americana e do Caribe em Ciências da Saúde
(LILACS) and Indice Bibliográico Español en Ciencias de la Salud (IBECS) via Biblioteca Virtual
da Saúde (BVS), Medline via Pubmed, Scopus, Web of science, Cumulative Nursing and Allied
Health Literature (CINAHL) and Cochrane. Sixteen studies published from 2008 to 2017 were
included and submitted to content analysis. Results: the analysis showed that there are different
types of services that can be offered to the older population, including home care. The modalities
identified were home visiting services, home hospitalization; long-term institutional services; longterm
support services that combine home and community care, and institutional care transition
services. These modalities varied according to the forms of organization, target audience, results
achieved, and associated costs. The most cost-effective services for the older adults were those that
included home intervention for both acute and chronic conditions; home care; combined home
and community intervention services, transitional care institutions, and long-term care facilities.
Conclusion: home care, especially those that offer interventions at home, showed better results
capable of reducing overall costs for health systems and can be effective as it responds to the
demands for care required by older people.
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