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  • Review: evidence is unclear that preventive home visits for elderly people in the community improve mortality or health outcomes

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Therapeutics
Review: evidence is unclear that preventive home visits for elderly people in the community improve mortality or health outcomes

https://doi.org/10.1136/ebm.5.5.147

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    (2000) BMJ 320, 754. van Haastregt JC, Diederiks JP, van Rossum E, et al. . Effects of preventive home visits to elderly people living in the community: systematic review.. Mar 18;. :. –8..
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 QUESTION: For elderly people living in the community, are preventive home visits effective for improving physical and psychological function and for reducing falls, admission to institutions, and mortality?

    Data sources

    Studies were identified by searching Medline (1966 to May 1999), EMBASE/Excerpta Medica (1989 to March 1999), and the Cochrane Controlled Trials Register with the terms geriatric assessment, home visit, health visit, and health screening combined with the terms aged, prevent, screen, health education, or health promotion with various term endings. Bibliographies of studies and review articles were scanned.

    Study selection

    Randomised controlled trials were selected if elderly people who were ≥65 years of age and living in the community were evaluated; home visit interventions were tested; interventions were designed to prevent or reduce problems and risks related to aging; problems or resources in ≥2 medical, functional, psychosocial, or environmental categories were assessed and …

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    Footnotes

    • Sources of funding: Zorg Onderzoek Nederland and Stichting Onderzoek en Ontwikheling Maatschappeljke gezondheidszorg.

    • For correspondence: Dr J C van Haastregt, Research Division, Institute for Rehabilitation Research, PO Box 192, 6430 AD Hoensbroek, the Netherlands. Fax +31 45 5231550.