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As with the CSHA, our big effect of institutionalisation (18% in deceased at wave 2 compared with 3% in respondents) found with a univariate analysis disappeared when physical and cognitive factors were introduced to a multivariable analysis.
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Promotion of service users' autonomy should be a priority for these institutions since the negative effects of "institutionalisation" are well known [ 18].
Equally, no effect on institutionalisation was identified in this study, despite the fact that the benefits of performing multi-dimensional assessment of elderly patients in terms of reducing admissions to residential homes is well documented in the literature [ 4].
In such circumstances, Rasmussen's plea leads to the need to investigate the potential effects of such institutionalisation on today's childhoods and the social space for 'children's places'.
In Japan, the preventive effect of day care on institutionalisation was reported before the introduction of LTCI [ 18, 19].
These findings support a 'new institutionalist' account of community empowerment which emphasises the importance of contextual variation and locally specific processes of institutionalisation rather than the determining effect of institutional design per se.
Univariate Cox regressions were conducted to determine the unadjusted HR with 95% CI for the effects of statins on institutionalisation and death.
The samples often consist of chronic patients, which introduce several limitations related to the effects of illness duration, institutionalisation, and aggravation or induction of second-onset OCD during antiserotonergic antipsychotics [ 12- 14].
"Why is it considered acceptable to institutionalise older people when other forms of institutionalisation have been eradicated?" she asks.
A degree of institutionalisation is needed.
In 1908, manic-depressive Clifford Beers published an account of his experiences of institutionalisation.
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