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Can J Aging. 2017 Sep;36(3):273-285. doi: 10.1017/S0714980817000186. Epub 2017 May 31.

How's Your Health at Home: Frail Homebound Patients Reported Health Experience and Outcomes.

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Vancouver Coastal Health Research Institute Centre for Clinical Epidemiology & Evaluation.
Department of Family Practice,University of British Columbia.
Department of Sociology,University of British Columbia.
Health Research Consultant,Balfour,British Columbia.


We used a web-based mixed methods survey (HowsYourHealth - Frail) to explore the health of frail older (78% age 80 or older) adults enrolled in a home-based primary care program in Vancouver, Canada. Sixty per cent of eligible respondents participated, representing over one quarter (92/350, 26.2%) of all individuals receiving the service. Despite high levels of co-morbidity and functional dependence, 50 per cent rated their health as good, very good, or excellent. Adjusted odds ratios for positive self-rated health were 7.50, 95 per cent CI [1.09, 51.81] and 4.85, 95 per cent CI [1.02, 22.95] for absence of bothersome symptoms and being able to talk to family or friends respectively. Narrative responses to questions about end of life and living with illness are also described. Results suggest that greater focus on symptom management, and supporting social contact, may improve frail seniors' health.


aging; autoévaluation de santé; end of life; fin de vie; homebound frail seniors; patient-reported outcome measures (PROMS); personnes âgées fragiles et confinés chez soi; quality of life (QoL); qualité de vie; self-rated health; vieillissment

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