This six-month project compared integrated home care services for frail seniors with non-integrated services. It also evaluated cost-effectiveness and relative health outcomes of integrated home care. Clients in the treatment group received continuing attention from a care coordinator, generous occupational and physiotherapy rehabilitation services, access to an adult day program, advice from mental health and geriatric outreach teams, recreation therapy, regular attention at interdisciplinary team conferences, and the services of a salaried home support worker. The program was found to be very cost-effective. In the six-month period, the total cost of services for the treatment group was $7,367 per client, compared with $11,279 per client for the comparison group. No significant differences existed in health outcomes between the two groups.
This project was supported by the Health Transition Fund, which was created in 1997 to provide support for evidence-based decision-making in health care reform by supporting pilot and evaluation projects which test innovative approaches to health care delivery. The views expressed herein do no necessarily represent the official policy of federal, provincial, or territorial governments.