Læknablaðið - 15.04.2003, Blaðsíða 34
FRÆÐIGREINAR /
ALDRAÐIR
Orðskýringar
MDS-RAI HC: Minimum Data Set-Resident Ass-
essment Instrument for Home Care. Raunverulegar
aðstæður íbúa í heimaþjónustu, mælitæki til að meta
aldraða er njóta heimaþjónustu.
ADL: Activities of Daily Living. Athafnir daglegs
lífs. Hugtak sem lýsir færni í frumathöfnum daglegs
lífs, svo sem að klæðast, matast og ganga.
IADL: Instrumental Activities of Daily Living. Al-
mennar athafnir daglegs lífs, svo sem að þrífa, annast
matargerð, sjá um fjármál og ferðast utanhúss.
Þakkir
Eftirtaldar stofnanir og aðilar sem komu að rann-
sókn þessari og taldir eru upp hér að neðan fá sér-
stakar þakkir: Heilsugæslustöðin Fossvogi, heilsu-
gæslustöð Hlíðasvæðis, heilsugæslustöð Miðbæjar og
heilsugæslustöðin á Seltjarnarnesi. Þeir einstaklingar
sem þátt tóku í rannsókn þessari og aðstandendur
þeirra fá einnig sérstakar þakkir.
Hjúkrunarfræðingar sem tóku þátt í rannsókn-
inni: Heilsugæslustöðin á Seltjarnaraesi: Anna Dag-
ný Smith, Elsa Mogensen, Erla Kristbjörg Sigur-
geirsdóttir, Guðbjörg Pálsdóttir, Guðrún Einarsdótt-
ir, Kristín Gunnarsdóttir, Ragnheiður Gunnarsdóttir
Bachman, Sólveig Þórhallsdóttir. Heilsugæslustöð
Hlíðasvæðis: Guðríður Anna Eyjólfsdóttir, Margrét
Pétursdóttir, Rakel Þórisdóttir, Sólveig Ólafsdóttir.
Heilsugæslustöð Miðbæjar: Brynja Guðjónsdóttir,
Elín Birna Hjörleifsdóttir, Guðbjörg Ögmundsdóttir,
Kristbjörg Þórðardóttir, Magdalena Búadóttir,
Ragna Ragnars, Sigríður Gottskálksdóttir, Sigurveig
Alfreðsdóttir. Heilsugæslustöðin Fossvogi: Auður
Þorvarðardóttir, Guðbjörg Guðbergsdóttir, Ingrid
Svenson, Ólöf Guðmundsdóttir.
Heimildir
1. Lög um málefni aldraöra, 125/1999,31. desember.
2. Morris JN, Fries BE, Steel K, Ikegami N, Bemabei R, Carpen-
ter GI, et al. Comprehensive Clinical Assessment in Commu-
nity Setting: Applicability of the MDS-HC. J Am Geriatr Soc
1997; 45: 1017-24.
3. Carpenter GI, Morris J, Ikegami N, Hirdes JP, Topinkova E.
Standardised assessment for community care - field testing of
the RAI-HC. Age Ageing 1997; 26: 23.
4. Morris JN, Fries BE, Barnebei R, Steel K, Kikegami N, Car-
penter I, et al. RAI Home Care (RAI HC) Assessment
Manual; Primer on Use of the Minimum Data Set-Home Care
(MDS-HC) and the Client Assessment Protocols (CAPs).
Hebrew Rehabilitation Center for Aged, Boston, MA, 1996.
5. Morris JN, Hawes C, Fries BE, Phillips CD, Mor V, Katz S, et
al. Designing the national resident assessment instrument for
nursing homes. Gerontologist 1990; 30: 293-307.
6. Jónsson PV, Jensdóttir AB, Guömundsdóttir H, Pálsson H,
Hjaltadóttir I, Harðarson Ó, et al. Mat á heilsufari og hjúkr-
unarþörf á elli- og hjúkrunarheimilum: RAI mælitækið, þróun
þess og sýnishorn af íslenskum niöurstöðum. Læknablaðiö
1997; 83: 640-7.
7. Jensdóttir AB, Guðmundsdóttir H, Pálsson H, Hjaltadóttir I,
Jónsson PV, Sigurgeirsdóttir S. Gagnasafn um heilsufar og
hjúkrunarþarfir aldraðra á elli- og hjúkrunarheimilum. Að-
ferðafræði mælinga á raunverulegum aðbúnaði íbúa, RAI.
Tímarit hjúkrunarfræðinga 1998; 74: 209-12.
8. Jensdóttir AB, Friðbjömsdóttir F, Guðmundsdóttir H, Pálsson
H, Hjaltadóttir I, Haraldsdóttir M, et al (höf. í stafrófsröð).
Heilsufar og hjúkrunarþörf aldraðra sem njóta þjónustu
heimahjúkrunar. Rannsókn framkvæmd af RAI-stýrihópi
1997-1998 með þátttöku fjögurra heilsugæslustöðva á Stór-
Reykjavíkursvæðinu. Heilbrigðis- og tryggingamálaráðuneyt-
ið 1999.
9. Heimasíða heilbrigðisráðuneytisins www.stjr.is/heilbrigdis-
ráðuneyti/útgefiðefni/málefnialdraðra
10. Steel K, Leff B, Vaitovas B. A home care annotated biblio-
graphy. J Am Geriatr Soc 1998; 46: 898-909.
11. Burton LC, Leff B, Harper M, Ghoshtagore I, Steinwachs
DA, Greenough WB 3rd, et al. Acceptability to patients of a
home hospital. J Am Geriatr Soc 1998: 46: 605-9.
12. Gunnell D, Coast J, Richards SH, Peters TJ, Pounsford JC,
Darlow MA. How great a burden does early discharge to a
hospital-at-home cause on carers? A randomized controlled
trial. Age Ageing 2000; 29:137-42.
13. Campion EW. New Hope for Home Care? N Engl J Med 1995;
333:1213-4.
14. Blazer D. Home health care: House calls revised. Am J Public
Health 1988; 78: 238-9.
15. Welch HG, Wennberg DE, Welch WP. The use of Medicare
home health care services. N Engl J Med 1996; 335: 324-9.
16. Landi F, Tua E, Onder G, Carrara B, Sgadari A, Rinaldi C,
Gambassi G, et al. SILVERNET-HC Study Group of Berga-
mo. Minimum data set for home care: a valid instrument to
assess frail older people living in the community. Med Care
2000; 38:1184-90.
17. Landi F. Lattanzio F, Gambassi G, Zuccala G. Sgadari A, Pan-
filo M, et al. A model for integrated home care of frail older
patients: the Silver Network project. SILVERNET-HC Study
Group. Aging (Milano) 1999; 11:262-72.
18. Landi F, Onder G, Tua E, Carrara B, Zuccala G, Gambassi G,
et al. SiIvernet-HC Study Group of Bergamo. Impact of a new
assessment system, the MDS-HC, on function and hospitaliza-
tion of homebound older people: a controlled clinical trial. J
Am Geriatr Soc 2001; 49:1288-93.
19. Landi F, Gambassi G, Pola R, Tabaccanti S, Cavinato T, Car-
bonin PU, et al. Impact of integrated home care services on
hospital use. J Am Geriatr Soc 1999; 47:1430-4.
20. Bernabei R, Landi F, Gambassi G, Sgadari A, Zuccala G, Mor
V, et al. Randomised trial of impact of model of integrated
care and case management for older people living in the com-
munity. BMJ 1998; 316:1348-51.
21. Landi F, Onder G, Cesari M, Gambassi G, Steel K, Russo A,
et al. Pain management in frail, community-living elderly
patients. Arch Intern Med 2001; 161:2721-4.
22. Landi F, Onder G, Cattel C, Gambassi G, Lattanzio F, Cesari
M, et al. Silvernet-HC Study Group. Functional status and
clinical correlates in cognitively impaired community-living
older people. J Geriatr Psychiatry Neurol 2001; 14:21-7.
23. Campion EW. Can house calls survive? N Engl J Med 1997;
337:1840-1.
24. Aylin P, Majeed FA, Cook DG. Home visiting by general
practitioners in England and Wales. BMJ 1996; 313:207-10.
25. Boling PA. Physicians in home care: past, present, & future.
Caring 1998; 17:10-2.
26. Burton JR. The house call: An important service for the frail
elderly. J Am Geriatr Soc 1985; 33: 291-3.
27. Kane RL. Improving the quality of long-term care. JAMA
1995; 273:1376-80.
28. Hirdes JP, Fries BE, Morris J, Steel K, Mor V, Frijters DH, et
al. Integrated health information system based on the RAI/
MDS series of instruments. Healthc Manage Forum 1999; 12:
30-40.
29. Alessi CA, Stuck AE, Aronow HU, Yuhas KE, Bula CJ,
Madison R, et al. The process of care in preventive in-home
comprehensive geriatric assessment. J Am Geriatr Soc 1997;
45:1044-50.
30. Fabacher D, Josephson K, Pietruszka F, Linderborn K, Mor-
ley JE, Rubenstein LZ. An in-home preventive assessment
program for independent older adults: A randomized con-
trolled trial. J Am Geriatr Soc 1994; 42: 630-8.
31. Hendriksen C, Lund E, Stromgard E. Consequences of assess-
ment and intervention among elderly people: A three year
randomised controlled trial. BMJ 1984; 289:1522-4.
32. Stuck AE, Aronow HU, Steiner A, Alessi CA, Bula CJ, Gold
M, et al. A trial of annual in-home comprehensive geriatric
assessments for elderly people living in the community. N Engl
JMed 1995; 333:1184-9.
318
Læknablaðið
2003/89
J