Reduced Hospitalization Rates of Two Sets of Community-Residing Older Adults After Use of a Personal Response System

Abstract

This study replicated, in a United States setting, an earlier study conducted in Canada to determine whether use of a 24-hour personal response system (PRS) affected selected hospital utilization rates among community-residing users. Utilization rates of 106 Canadian patients were reviewed for 1 year before and 1 year after enrollment in the PRS: These were compared with a similar set of 101 U.S. patients using the same PRS program. Self-paired analyses were conducted on number of emergency department (ED) visits and number of inpatient days. During the 1-year follow-up periods, both sets of subscribers using the Lifeline system experienced a statistically significant decrease (p < 0.05) in per person inpatient days (mean reduction = 6.5 days). No significant differences occurred in ED visits. When indicated, a PRS may be an appropriate environmental prescription.

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References

Cain, B.A. (1987). Effects of a Lifeline Program on hospitalization . Master's thesis, California State University, Long Beach, CA.

Cohen, R.A. , & Van Nostrand, J.F. (1995). Trends in the health of older Americans: United States, 1994. Vital and Health Statistics, 330 (DHHS Publication No. PHS 95-1414). Washington, DC: U. S. Government Printing Office.

Dibner, A. S. (Ed). (1992). Personal response systems, an international report of a new home care service . Binghamton, NY: Haworth.

Evans, J.G. (1996). Health care for older people: A look across a frontier. JAMA, 275,1449-1450.

Fisk, M.J. (1995). A comparison of personal response services in Canada and the UK. Journal of Telemedicine and Telecare, 1, 145-156.

Graves, E.J. , & Gillum B.S. (1996). 1994 summary: National hospital discharge survey . Advance Data, 278, 1-12.

Gurley, R.J. , Lum, N. , Sande, M. , Lo, B. , & Katz, M.H. (1996). Persons found in their homes helpless or dead . New England Journal of Medicine, 334, 1710-1716.

Joslyn, S.A. , Pomrehn, P.R. , & Brown, D.D. (1994). Survival from out-of-hospital cardiac arrest: Effects of patient age and presence of 911 emergency medical services phone access. American Journal of Emergency Medicine, 11, 200-206.

Kane, R.L. , Ouslander, J.G. , & Abrass, I.B. (1994). Essentials of clinical geriatrics, (3rd ed.) New York: McGraw-Hill.

10.

Koch, J. (1984) Emergency response system assists in discharge planning. Dimensions in Health Service, 61, 30-31.

11.

Montgomery, C. (1992) Personal response systems in the U. S. Home Health Services Quarterly, 13, 201-222.

12.

National Center for Health Statistics (1992 ). Health data on older Americans, national discharge survey Series 3, No. 27. Hyattsville, MD.

13.

Redelmeier, D.A. , & Fuchs, V.R. (1993). Hospital expenditures in the United States and Canada. New England Journal of Medicine, 328, 772-778.

14.

Roush, R.E. , & Teasdale, T.A. (1996). Persons found helpless in their homes. New England Journal of Medicine, 335, 1612.

15.

Roush, R.E. , Teasdale, T.A. , Murphy, J.N. , & Kirk, M.S. (1995). Impact of a personal emergency response system on hospital utilization by community-residing users. Southern Medical Journal, 88, 917-922.

16.

Ruchlin, H.S. , & Morris, J.N. (1981). Cost-benefit analysis of an emergency alarm and response system: A case study of a long-term care program. Health Services Research, 16, 65-80.

17.

Sherwood, S. , & Morris, J.N. (1980). A study of the effects of an emergency alarm and response system for the aged: A final report of Grant. No. HS01788. Springfield, VA: National Center for Health Services Research. (NTIS No. PB 81-137242)

18.

U.S. Department of Health and Human Services, Public Health Service (1993). Vital and health statistics: Health data on older Americans (DHHS Publication No. PHS 93-1411, 3. Washington, DC: U.S. Government Printing Office.

19.

U.S. Senate Special Committee on Aging, the American Association of Retired Persons, the Federal Council on the Aging, and the U.S. Administration on Aging (1991). Aging America (FCoA Publication No. 91-28001. Washington, DC: Department of Health and Human Services.

20.

Waldo, D.R. , Sonnefeld, S.T. , McKusick, D.R. , & Arnett, R.H. (1989). Health expenditures by age group, 1977 and 1987 . Health Care Financing Review, 10, 137.

21.

Welch, W.P. , Verrilli, D. , Katz, S.J. , & Latimer, E. (1996). A detailed comparison of physician services for the elderly in the United States and Canada. JAMA, 275, 1410-1416.