Improved functional status from people with disabilities discharged from day medical care homes from 2017-2023 in Poland
•This study confirmed that a new model of day care for older adults with disabilities provided within the Day Medical Care Homes in Poland lead to improvenemtn in the fuctional status of older adults.•Changes in disability of patients was observed regardless of gender, age or place of residence.•The...
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| Veröffentlicht in: | Geriatric nursing (New York) 2024-11, Vol.60, p.433-439 |
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| creator | Warsz, Leszek Jankowski, Mateusz Oberska, Joanna Gujski, Mariusz |
| description | •This study confirmed that a new model of day care for older adults with disabilities provided within the Day Medical Care Homes in Poland lead to improvenemtn in the fuctional status of older adults.•Changes in disability of patients was observed regardless of gender, age or place of residence.•The organizational model of care in Day Medical Care Homes, including the scope of intervention, organizational rules, and funding rules may be used by other countries (especially in Central and Eastern Europe), that face demographic changes and population aging like Poland.
This study aimed to assess changes in the functional status of 956 patients with disabilities covered by day care in Day Medical Care Homes in Poland between 2017 and 2023. Medical records (admission reports and discharge reports) of patients admitted to seven Day Medical Care Homes managed by the Medical and Diagnostic Centre (Poland) were analyzed. The functional status of the patients was assessed using the Barthel Index and the Instrumental Activities of Daily Living (IADL) tool. Out of 956 patients, 77.4% were females, and the mean age was 74.4 (SD=8.6) years. The average Barthel Index score was 59.4 (SD=5.8; 40-65) on admission and 72.6 (SD=10.2; 25-100) on discharge (p |
| doi_str_mv | 10.1016/j.gerinurse.2024.10.003 |
| format | Article |
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This study aimed to assess changes in the functional status of 956 patients with disabilities covered by day care in Day Medical Care Homes in Poland between 2017 and 2023. Medical records (admission reports and discharge reports) of patients admitted to seven Day Medical Care Homes managed by the Medical and Diagnostic Centre (Poland) were analyzed. The functional status of the patients was assessed using the Barthel Index and the Instrumental Activities of Daily Living (IADL) tool. Out of 956 patients, 77.4% were females, and the mean age was 74.4 (SD=8.6) years. The average Barthel Index score was 59.4 (SD=5.8; 40-65) on admission and 72.6 (SD=10.2; 25-100) on discharge (p<0.001). The average IADL score was 19.2 (SD=3.2; 8-24) on admission and 20.6 (SD=3.0; 8-24) on discharge (p<0.001). Significant improvement (p<0.001) in functional status defined with both the Barthel Index and IADL scale was observed in all demographic groups and facilities.</description><identifier>ISSN: 0197-4572</identifier><identifier>ISSN: 1528-3984</identifier><identifier>EISSN: 1528-3984</identifier><identifier>DOI: 10.1016/j.gerinurse.2024.10.003</identifier><identifier>PMID: 39418920</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of Daily Living ; Adult day care centers ; Aged ; Aged, 80 and over ; Day Care, Medical ; Disability evaluation ; Disabled Persons ; Female ; Functional Status ; Health Services for the aged ; Humans ; Male ; Older adults ; Patient Discharge ; Poland</subject><ispartof>Geriatric nursing (New York), 2024-11, Vol.60, p.433-439</ispartof><rights>2024 The Author(s)</rights><rights>Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c247t-e3f108bb7a74a38e58a2684537cee1f14b2062b18175c2238899b75405a226403</cites><orcidid>0000-0002-2938-4795 ; 0000-0002-7142-5167</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.gerinurse.2024.10.003$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39418920$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Warsz, Leszek</creatorcontrib><creatorcontrib>Jankowski, Mateusz</creatorcontrib><creatorcontrib>Oberska, Joanna</creatorcontrib><creatorcontrib>Gujski, Mariusz</creatorcontrib><title>Improved functional status from people with disabilities discharged from day medical care homes from 2017-2023 in Poland</title><title>Geriatric nursing (New York)</title><addtitle>Geriatr Nurs</addtitle><description>•This study confirmed that a new model of day care for older adults with disabilities provided within the Day Medical Care Homes in Poland lead to improvenemtn in the fuctional status of older adults.•Changes in disability of patients was observed regardless of gender, age or place of residence.•The organizational model of care in Day Medical Care Homes, including the scope of intervention, organizational rules, and funding rules may be used by other countries (especially in Central and Eastern Europe), that face demographic changes and population aging like Poland.
This study aimed to assess changes in the functional status of 956 patients with disabilities covered by day care in Day Medical Care Homes in Poland between 2017 and 2023. Medical records (admission reports and discharge reports) of patients admitted to seven Day Medical Care Homes managed by the Medical and Diagnostic Centre (Poland) were analyzed. The functional status of the patients was assessed using the Barthel Index and the Instrumental Activities of Daily Living (IADL) tool. Out of 956 patients, 77.4% were females, and the mean age was 74.4 (SD=8.6) years. The average Barthel Index score was 59.4 (SD=5.8; 40-65) on admission and 72.6 (SD=10.2; 25-100) on discharge (p<0.001). The average IADL score was 19.2 (SD=3.2; 8-24) on admission and 20.6 (SD=3.0; 8-24) on discharge (p<0.001). Significant improvement (p<0.001) in functional status defined with both the Barthel Index and IADL scale was observed in all demographic groups and facilities.</description><subject>Activities of Daily Living</subject><subject>Adult day care centers</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Day Care, Medical</subject><subject>Disability evaluation</subject><subject>Disabled Persons</subject><subject>Female</subject><subject>Functional Status</subject><subject>Health Services for the aged</subject><subject>Humans</subject><subject>Male</subject><subject>Older adults</subject><subject>Patient Discharge</subject><subject>Poland</subject><issn>0197-4572</issn><issn>1528-3984</issn><issn>1528-3984</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtP4zAUhS00CErhLzBeziYdvxLby6oaHhLSzALWluPcUFdJ3LEThv57HLWwnZVl-5xzz_0Q-k7JihJa_dytXiH6YYoJVowwkV9XhPAztKAlUwXXSnxDC0K1LEQp2SW6SmlHCNFc8Qt0ybWgSjOyQO-P_T6GN2hwOw1u9GGwHU6jHaeE2xh6vIew7wD_8-MWNz7Z2nd-9JDmi9va-DpbZ2FjD7iHxrsc4GwEvA09nEIYobLIPTn2A_4TOjs01-i8tV2Cm9O5RC93v543D8XT7_vHzfqpcEzIsQDeUqLqWlopLFdQKssqJUouHQBtqagZqVhNFZWlY4wrpXUtS0FKy1glCF-iH8fcvObfCdJo-lwcutwBwpQMp1RqzXklslQepS6GlCK0Zh99b-PBUGJm7GZnvrCbGfv8kbFn5-1pyFRnBl--T85ZsD4KIK_65iGa5DwMLvOK4EbTBP_fIR-08JdK</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Warsz, Leszek</creator><creator>Jankowski, Mateusz</creator><creator>Oberska, Joanna</creator><creator>Gujski, Mariusz</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2938-4795</orcidid><orcidid>https://orcid.org/0000-0002-7142-5167</orcidid></search><sort><creationdate>20241101</creationdate><title>Improved functional status from people with disabilities discharged from day medical care homes from 2017-2023 in Poland</title><author>Warsz, Leszek ; Jankowski, Mateusz ; Oberska, Joanna ; Gujski, Mariusz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c247t-e3f108bb7a74a38e58a2684537cee1f14b2062b18175c2238899b75405a226403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Activities of Daily Living</topic><topic>Adult day care centers</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Day Care, Medical</topic><topic>Disability evaluation</topic><topic>Disabled Persons</topic><topic>Female</topic><topic>Functional Status</topic><topic>Health Services for the aged</topic><topic>Humans</topic><topic>Male</topic><topic>Older adults</topic><topic>Patient Discharge</topic><topic>Poland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Warsz, Leszek</creatorcontrib><creatorcontrib>Jankowski, Mateusz</creatorcontrib><creatorcontrib>Oberska, Joanna</creatorcontrib><creatorcontrib>Gujski, Mariusz</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatric nursing (New York)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Warsz, Leszek</au><au>Jankowski, Mateusz</au><au>Oberska, Joanna</au><au>Gujski, Mariusz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improved functional status from people with disabilities discharged from day medical care homes from 2017-2023 in Poland</atitle><jtitle>Geriatric nursing (New York)</jtitle><addtitle>Geriatr Nurs</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>60</volume><spage>433</spage><epage>439</epage><pages>433-439</pages><issn>0197-4572</issn><issn>1528-3984</issn><eissn>1528-3984</eissn><abstract>•This study confirmed that a new model of day care for older adults with disabilities provided within the Day Medical Care Homes in Poland lead to improvenemtn in the fuctional status of older adults.•Changes in disability of patients was observed regardless of gender, age or place of residence.•The organizational model of care in Day Medical Care Homes, including the scope of intervention, organizational rules, and funding rules may be used by other countries (especially in Central and Eastern Europe), that face demographic changes and population aging like Poland.
This study aimed to assess changes in the functional status of 956 patients with disabilities covered by day care in Day Medical Care Homes in Poland between 2017 and 2023. Medical records (admission reports and discharge reports) of patients admitted to seven Day Medical Care Homes managed by the Medical and Diagnostic Centre (Poland) were analyzed. The functional status of the patients was assessed using the Barthel Index and the Instrumental Activities of Daily Living (IADL) tool. Out of 956 patients, 77.4% were females, and the mean age was 74.4 (SD=8.6) years. The average Barthel Index score was 59.4 (SD=5.8; 40-65) on admission and 72.6 (SD=10.2; 25-100) on discharge (p<0.001). The average IADL score was 19.2 (SD=3.2; 8-24) on admission and 20.6 (SD=3.0; 8-24) on discharge (p<0.001). Significant improvement (p<0.001) in functional status defined with both the Barthel Index and IADL scale was observed in all demographic groups and facilities.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39418920</pmid><doi>10.1016/j.gerinurse.2024.10.003</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2938-4795</orcidid><orcidid>https://orcid.org/0000-0002-7142-5167</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of Daily Living Adult day care centers Aged Aged, 80 and over Day Care, Medical Disability evaluation Disabled Persons Female Functional Status Health Services for the aged Humans Male Older adults Patient Discharge Poland |
| title | Improved functional status from people with disabilities discharged from day medical care homes from 2017-2023 in Poland |
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