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Standardised health check data from community dwelling elderly people: the potential for comparing populations and estimating need

Standardised health check data from community dwelling elderly people: the potential for comparing populations and estimating need
Standardised health check data from community dwelling elderly people: the potential for comparing populations and estimating need
The main aim of this study was to compare EASY-Care data obtained during nurse-administered annual health checks in two populations of older people. A secondary aim was to determine whether a standardized assessment system administered as part of routine practice by a trained nurse during the over-75 health check could generate useful information for comparing population health and functional status of community-dwelling-older people. One hundred and seventy-nine elderly people (aged 75 years and over) from the Woodstock ward, Belfast, having relatively high deprivation; and 238 elderly people from south Hampshire, ranging from affluent wards in New Forest to inner city wards, were assessed using the EASY-Care assessment system as part of their annual health check. There was a high response rate to the standardized assessment in both populations (75% and 79%). Compared to people in south Hampshire, the people in Belfast had higher relative risk of having fair/poor self-rated health, and lower relative risk of having good/sufficient accommodation and of having difficulty chewing. People in Belfast had a higher relative risk of being dependent for six of the seven IADL items and for continence of urine, bathing, grooming, use of the stairs and dressing among the ADL items. The results demonstrate the ability of data generated by assessment system to discriminate between populations of older people when used as part of routine practice. Differences in health and functional status may be associated with deprivation. Data collected during the annual health check about the health and functional status of older people could provide a useful adjunct to census and survey data to measure population needs and to support locality planning.
deprivation, functional ability, health, older people
0966-0410
17-21
Bath, Peter
c6b9c9e0-decc-43ef-bb38-42d2ad31ff30
Philp, Ian
fc52216c-a88a-4880-9209-6bc0d8058bd0
Boydell, Leslie
7ed5d0fa-f9fa-4788-914e-3861ae6b87a8
McCormick, William
dff57244-2259-4ded-81cd-9380ca60b64c
Bray, Jane
84fb698b-d4a0-4026-8079-34c1e2ed40f1
Roberts, Helen
5ea688b1-ef7a-4173-9da0-26290e18f253
Bath, Peter
c6b9c9e0-decc-43ef-bb38-42d2ad31ff30
Philp, Ian
fc52216c-a88a-4880-9209-6bc0d8058bd0
Boydell, Leslie
7ed5d0fa-f9fa-4788-914e-3861ae6b87a8
McCormick, William
dff57244-2259-4ded-81cd-9380ca60b64c
Bray, Jane
84fb698b-d4a0-4026-8079-34c1e2ed40f1
Roberts, Helen
5ea688b1-ef7a-4173-9da0-26290e18f253

Bath, Peter, Philp, Ian, Boydell, Leslie, McCormick, William, Bray, Jane and Roberts, Helen (2000) Standardised health check data from community dwelling elderly people: the potential for comparing populations and estimating need. Health & Social Care in the Community, 8 (1), 17-21. (doi:10.1046/j.1365-2524.2000.00225.x). (PMID:11560670)

Record type: Article

Abstract

The main aim of this study was to compare EASY-Care data obtained during nurse-administered annual health checks in two populations of older people. A secondary aim was to determine whether a standardized assessment system administered as part of routine practice by a trained nurse during the over-75 health check could generate useful information for comparing population health and functional status of community-dwelling-older people. One hundred and seventy-nine elderly people (aged 75 years and over) from the Woodstock ward, Belfast, having relatively high deprivation; and 238 elderly people from south Hampshire, ranging from affluent wards in New Forest to inner city wards, were assessed using the EASY-Care assessment system as part of their annual health check. There was a high response rate to the standardized assessment in both populations (75% and 79%). Compared to people in south Hampshire, the people in Belfast had higher relative risk of having fair/poor self-rated health, and lower relative risk of having good/sufficient accommodation and of having difficulty chewing. People in Belfast had a higher relative risk of being dependent for six of the seven IADL items and for continence of urine, bathing, grooming, use of the stairs and dressing among the ADL items. The results demonstrate the ability of data generated by assessment system to discriminate between populations of older people when used as part of routine practice. Differences in health and functional status may be associated with deprivation. Data collected during the annual health check about the health and functional status of older people could provide a useful adjunct to census and survey data to measure population needs and to support locality planning.

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More information

Published date: January 2000
Keywords: deprivation, functional ability, health, older people
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 341824
URI: http://eprints.soton.ac.uk/id/eprint/341824
ISSN: 0966-0410
PURE UUID: 1964ccf4-02b2-4715-b64d-dd26e72ca941
ORCID for Helen Roberts: ORCID iD orcid.org/0000-0002-5291-1880

Catalogue record

Date deposited: 14 Aug 2012 10:29
Last modified: 15 Mar 2024 03:14

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Contributors

Author: Peter Bath
Author: Ian Philp
Author: Leslie Boydell
Author: William McCormick
Author: Jane Bray
Author: Helen Roberts ORCID iD

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