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© 1994 Oxford University Press

research-article

The Outcome of a Medical Examination for Applicants to Leicestershire Homes for Older People

SUSAN M. PEET, C. MARK CASTLEDEN, JOHN F. POTTER and CAROL JAGGER

University Department of Medicine for the Elderly, Leicester General Hospital Gwendolen Road, Leicester LE5 4PW
University Department of Epidemiology and Public Health, Leicester Royal Infirmary PO Box 65, Leicester LE2 7LX

Medical screening of applicants to residential homes for older people has been shown to redirect inappropriate applications, although other outcomes have not been reported. This study assessed 117 applicants, of whom 63% were medically examined and offered medically directed interventions if indicated. All applicants were then reassessed at 6 and 12 weeks. No significant differences in survival, or changes in cognitive score, disability, incontinence or self-reported health were found between intervention and control groups. Intervention did redirect some applicants to more appropriate care and resulted in significantly greater improvements in morale. These results raised the question of whether it is appropriate for medical assessment to be used primarily to enforce admission criteria in the absence of other significant health benefits. However, the greater improvements in morale of the intervention group did indicate some benefit from the medical examination.

Revision received April 7, 1993.
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