+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Facility characteristics associated with hospitalization of nursing home residents: results of a national study



Facility characteristics associated with hospitalization of nursing home residents: results of a national study



Medical Care 37(3): 228-237



To test the effect of facility characteristics on the probability of hospitalization of nursing home residents, controlling for resident characteristics and the competing risk of death. Study data were derived from the evaluation of the implementation of the Resident Assessment Instrument, the Minimum Data Set (MDS) in 1993. The data consisted of 2080 residents in 253 NHs as well as the annual On-Line Survey Certification of Automated Records (OSCAR). Multinomial logistic regression was used to determine the effects of selected resident and facility characteristics on hospitalization or death within 6 months of baseline, adjusting for the complex sampling design (using SUDAAN). By controlling for resident demographics, advance directives, diagnoses, selected clinical signs, and type of payer, we found that homes with special care units, more physicians (above the median 0.08 FTE physicians on staff or contract), and any physician extenders (nurse practitioners or physician assistants) were less likely to hospitalize their residents. Homes in which over 3.6% of the residents received respiratory treatment were more likely to hospitalize their residents. Findings suggest that Medicare HMOs should consider the capacity of nursing facilities, especially in terms of medical care capacity and clinical resources, to limit hospital admissions.

(PDF emailed within 0-6 h: $19.90)

Accession: 046065525

Download citation: RISBibTeXText

PMID: 10098567

DOI: 10.2307/3767113


Related references

The association of individual and facility characteristics with psychiatric hospitalization among nursing home residents. International Journal of Geriatric Psychiatry 24(3): 261-268, 2008

Seasonal variations in acute hospitalization and mortality among nursing home residents Results from LOVE Long-term care of Old people Via KorEan Nursing Home Network study. European Geriatric Medicine 4(3): 172-175, 2013

Variations in hospitalization rates among nursing home residents: the role of facility and market attributes. Gerontologist 43(2): 175-191, 2003

Influence of resident and facility factors on the hospitalization of nursing home residents: Findings from an expert panel. Journal of General Internal Medicine 23(Suppl. 2): 329, 2008

End-of-life hospitalization for African American and non-Latino white nursing home residents: variation by race and a facility's racial composition. Journal of Palliative Medicine 8(1): 58-68, 2005

Nursing home resident and facility characteristics associated with pneumococcal vaccination: national nursing home survey, 1995-1999. Journal of the American Geriatrics Society 53(9): 1543-1551, 2005

Characteristics of elderly nursing home current residents and discharges: data from the 1997 National Nursing Home Survey. Advance Data (): 1-15, 2001

Characteristics, social contacts, and activities of nursing home residents United States: 1973-74 National Nursing Home Survey. Vital and Health Statistics. Series 13, Data From the National Health Survey: 1-64, 1977

Characteristics of elderly nursing home residents: data from the 1995 National Nursing Home Survey. Advance Data (): 1-8, 1997

Polypharmacy in nursing home residents in the United States: results of the 2004 National Nursing Home Survey. American Journal of Geriatric PharmacoTherapy 8(1): 63-72, 2010

Characteristics of nursing home residents, health status, and care received: National Nursing Home Survey United States, May-December 1977. Vital and Health Statistics. Series 13, Data From the National Health Survey: 1-138, 1981

Frequency of laboratory monitoring of chronic medications administered to nursing facility residents: results of a national Internet-based study. Consultant Pharmacist 23(5): 387-395, 2008

Warfarin use in nursing home residents: results from the 2004 national nursing home survey. American Journal of Geriatric PharmacoTherapy 10(1): 25-36.E2, 2012

Nursing home residents at risk of hospitalization and the characteristics of their hospital stays. Gerontologist 35(1): 35-43, 1995

Community Discharge of Nursing Home Residents: The Role of Facility Characteristics. Health Services Research 51(2): 645-666, 2016