Predicting Elderly Nursing Home Admissions

Hanley, Raymond J.; Alecxih, Lisa; Wiener, Joshua M.; Kennell, David

doi:10.1177/0164027590122004

Cited by 81 publications

(7 citation statements)

References 23 publications

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“…These findings showed that older adults' personal factors predicting older adults' residential transitions are differ-ent from the factors predicting nursing home use. The literature has reported having more informal support to be both associated with and not associated with increased risk of nursing home admission [1,18,31]. Our study findings provided further explanation: that lack of informal support could predict older adults' nursinghome admission, but not older adults' residential transitions.…”

Section: Older Adults' Personal Factors and Their Residential Transitsupporting

confidence: 57%

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Factors and Home- and Community-Based Services (HCBS) that Predict Older Adults’ Residential Transitions

Chen¹,

Thompson²,

Berkowitz³

et al. 2011

JSSM

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Objectives:This study identified specific personal factors and home-and community-based services (HCBS) that predict older adults' residential transitions between community and institutional settings. Method: Logistic regression of interview data from 5294 participants in the Second Longitudinal Study of Aging identified predictors of three residential transition patterns and of frequency and duration of institutional services use. Results: Different HCBS services differently affected residential transitions. Informal support and paid personal care services (PCS) were the main factors affecting older adults' ability to reside in community settings or to remain in community longer. Frequency of HCBS use and quantity of paid PCS used indicated direction of transitions: from communities into institutions or vice versa. Discussion: Integration of informal and formal care systems and attention to community-dwelling older adults' HCBS use and paid PCS use, as a guide for possible future transitions, are tasks for community care professionals.

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Section: Older Adults' Personal Factors and Their Residential Transitsupporting

confidence: 57%

“…Factors that predict older adults' nursing home use have been investigated for decades [1,2]. Many personal factors, such as age, education level, and social support, have been found to be significantly predict older adults' subsequent nursing home use [3,4].…”

Section: Introductionmentioning

confidence: 99%

Factors and Home- and Community-Based Services (HCBS) that Predict Older Adults’ Residential Transitions

Chen¹,

Thompson²,

Berkowitz³

et al. 2011

JSSM

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show abstract

“…As expected, prior use of the service being examined is highly predictive of the likelihood of future use (Hanley, et al, 1990;Parboosingh & Larsen, 1987). For instance, those having prior hospital admissions were twice as likely to be subsequently admitted than those without prior admissions, while those with prior nursing home admissions were three and three-quarters times more likely to be subsequently admitted than those without prior admissions.…”

Section: Resultsmentioning

confidence: 53%

Urban/Rural Differences in Health Service Utilization by Elderly Persons in the United States

McConnel¹,

Zetzman²

1993

The Journal of Rural Health

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This paper presents the results of a longitudinal analysis of differences between urban and rural elderly persons in the use of hospital, nursing home, and physician services. Multivariate logistic and Tobit utilization models were estimated with data from the National Center for Health Statistics' Longitudinal Study of Aging (a national survey of more than 5,000 elderly, 70 years of age and older) and health resource data from the Bureau of Health Professions' Area Resources File. The research investigated the independent effect of residential location on both the frequency of service use and the likelihood of using a service over the period 1984-1986. Under a trichotomous definition of urban/rural residency and controlling for differences in predisposing, enabling, and need characteristics, the analysis revealed that the utilization pattern of hospital, nursing home, and physician services was unrelated to either rural or urban residential location or the availability of health resources in those areas.

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“…Specifically, at age 85 and above, prevalence among white females was 259/1,000 compared to 163/ 1,000 for black females, 151/1,000 for white males, and 96/1,000 for black males of the same age. Methods used to model incident risk of nursing home use range from retrospective, based on the characteristics of persons already residing in nursing homes (38), to prospective studies of variable duration (39)(40)(41).…”

Section: Relationship Between Musculoskeletal Disease and Predictors mentioning

confidence: 99%

The prevalence and impact of arthritis in older persons

Hughes

Dunlop

1995

Arthritis & Rheumatism

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Objective. To review what is known about the prevalence and impact of arthritis on disability and health care expenditures incurred by older persons.to long-term care use, the development and testing of interventions to prevedminimize arthritis-specific disability should be a major research priority. Methods. The current prevalence estimates of osteoarthritis and osteoporosis in the US are examined, and what is known about the relationship of arthritis, broadly defined to disability, and the impact of arthritis-specific disability on home care and nursing home use by older persons are reviewed.Results. Arthritis is a major contributor to disability among older people and is especially disabling for older women, who have higher prevalence rates and greater disability than their male counterparts. Studies of the relationship of arthritis to long-term care use indicate that arthritis can be a risk factor insofar as it can cause disability that results in homeboundedness, which, in turn is a risk factor for nursing home use. I t is possible that previous analyses that included arthritis and disability as competing risk factors for nursing home use underestimate the contribution of arthritis because arthritis is a risk factor for disability; thus, the two variables may be strongly correlated.Conclusions. More study is needed to understand the contribution of sex to prevalence of arthritis and severity of arthritis-specific disability. The route through which arthritis affects long-term care use also needs careful longitudinal study. If arthritis is confirmed to be a major risk factor for disability that leads

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Predicting Elderly Nursing Home Admissions

Cited by 81 publications

References 23 publications

Factors and Home- and Community-Based Services (HCBS) that Predict Older Adults’ Residential Transitions

Factors and Home- and Community-Based Services (HCBS) that Predict Older Adults’ Residential Transitions

Urban/Rural Differences in Health Service Utilization by Elderly Persons in the United States

The prevalence and impact of arthritis in older persons

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