A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carer
Mason A, Weatherly H, Spilsbury K, Arksey H, Golder S, Adamson J, et al
Record ID 32007000515
English
Authors' objectives:
"The aim of the review was three-fold:
1. systematically to identify, appraise and synthesise the grey and published evidence for the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers 2. where data permit, to identify subgroups of carers and care recipients, for whom respite care is particularly effective or cost-effective 3. to explore the practice, policy and research implications and to make recommendations for further research." (from executive summary)
Authors' recommendations:
The literature reviewed in this report provides some evidence that respite for carers of frail elderly people may have a small positive effect upon carers in terms of burden and mental or physical health. Carers were generally very satisfied with respite. No reliable evidence was found that respite either benefits or adversely affects care recipients, or that it delays entry to residential care. Economic evidence suggests that day care is at least as costly as usual care.
Implications for healthcare; Much of the existing literature is unable to inform UK policy and practice: there are many important gaps in the knowledge base, with a lack of UK-relevant, good-quality, controlled evaluations for all types of respite care and no economic evidence for any type of respite other than day care.
Authors' methods:
Systematic review and economic evaluation
Details
Project Status:
Completed
URL for project:
http://www.hta.ac.uk/1453
Year Published:
2007
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England, United Kingdom
MeSH Terms
- Respite Care
Contact
Organisation Name:
NIHR Health Technology Assessment programme
Contact Address:
NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name:
journals.library@nihr.ac.uk
Contact Email:
journals.library@nihr.ac.uk
Copyright:
2009 Queen's Printer and Controller of HMSO
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.