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Effecten van intensieve huisbezoekenprogramma's

Een systematische literatuurstudie voor ouderen met gezondheidsproblemen

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Tijdschrift voor VerpleeghuisGeneeskunde

Samenvatting

Het doel van deze literatuurstudie is om de effectiviteit na te gaan van intensieve huisbezoekenprogramma's aan ouderen met gezondheidsproblemen of functionele beperkingen. Het doorzoeken van de literatuur was gebaseerd op de ingesloten experimenten van vier literatuurstudies over de effectiviteit van huisbezoeken, gepubliceerd vanaf 2000, en de databestanden van Cinahl, Cochrane, Embase, Medline en PsycINFO vanaf 2001. De zoekstrategie identificeerde 844 studies, waarvan acht voldeden aan de inclusiecriteria. Zeven experimenten waren van voldoende methodologische kwaliteit; geen van deze experimenten hadden, op basis van de belangrijkste analyses, een significant gunstig effect voor de interventiegroep in vergelijking met de controlegroep op mortaliteit, gezondheid, zorggebruik of kosten. De inclusie van minder intensieve programma's voor kwetsbare ouderen zou weinig invloed uitgeoefend hebben op de conclusies van onze literatuurstudie. We concluderen dat huisbezoekenprogramma's niet zinvol lijken voor oudere personen met (ervaren) gezondheidsproblemen binnen het gezondheidszorgsysteem van westerse landen.

Abstract

The objective of this review was to assess the effectiveness of intensive home visiting programs targeting older people with poor health or otherwise with functional impairments. A search for literature was based on included trials from four reviews on the effectiveness of home visits published after 2000 and on a database search of Cinahl, the Cochrane Central Register of Controlled Trials, Embase, Medline and PsycINFO from 2001 onwards. The search identified 844 abstracts; eight papers met the inclusion criteria. Seven trials were of sufficient methodological quality; none of the trials showed a significant favorable effect for the main analysis comparing the intervention group with the control group on mortality, health status, service use or cost. The inclusion of less-intensive intervention programs for frail older persons would not have exerted a great influence on the findings of our review. We conclude that home visiting programs appear not to be beneficial for older people with poor health within the health care setting of Western countries.

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    A. I. E. Bouman

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  2. E. van Rossum
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  3. P. Nelemans
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  4. G. I. J. M. Kempen
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  5. P. G. Knipschild
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Faculty of health, Medicine and life Sciences, vakgroep epidemiologie, Universiteit Maastricht

Faculty of health, Medicine and life Sciences, vakgroep Verpleging en Verzorging, Universiteit Maastricht

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Bouman, A.I.E., van Rossum, E., Nelemans, P. et al. Effecten van intensieve huisbezoekenprogramma's. TVVG 33, 148–154 (2008). https://doi.org/10.1007/BF03078542

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