The association of individual and facility characteristics with psychiatric hospitalization among nursing home residents

Becker, Mary; Andel, Ross; Boaz, Timothy L.; Howell, Timothy

doi:10.1002/gps.2099

Cited by 10 publications

(12 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Conversely, we found that older residents with Alzheimer’s disease or other dementias had a lower likelihood of hospitalization. This finding differed from another study that found dementia increased the risk of hospitalization for nursing home residents (Becker et al., 2009). One explanation is that residents with Alzheimer’s disease or dementia may be more closely supervised by assisted living facility staff members.…”

Section: Discussioncontrasting

confidence: 99%

“…Also, CHF was a risk factor for a majority of avoidable hospitalizations among nursing home residents (Spector, Limcangco, Williams, Rhodes, & Hurd, 2013). In contrast, dementia was associated with a lower likelihood of hospitalization (Becker, Andel, Boaz, & Howell, 2009). Also, nursing home resident age was positively associated with hospitalizations (Carter, 2003).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Falls, Depression, and Other Hospitalization Risk Factors for Adults in Residential Care Facilities

Gimm

Kitsantas

2016

Int J Aging Hum Dev

View full text Add to dashboard Cite

Prior research has shown a relationship between falls, hospitalizations, and depression among older adults in nursing home settings, but few studies have explored these relationships for younger and older adults in residential care facilities. This study examined risk factors for hospitalizations among assisted living residents. Using the 2010 National Survey of Residential Care Facilities, the study found that 24% of residents had a hospital stay in the past year. Residents with falls were more than twice as likely to have a hospitalization. For younger residents, depression was a key risk factor (OR = 1.74, p < .01). However, older residents with dementia had a lower risk of hospitalization (OR = 0.71, p < .01). More attention is needed to prevent falls and identify residents with depression and severe mental illness, who are at greater risk of hospitalization. Reducing avoidable hospitalizations can improve well-being for older and younger adults in residential care facilities.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Falls, Depression, and Other Hospitalization Risk Factors for Adults in Residential Care Facilities

Gimm

Kitsantas

2016

Int J Aging Hum Dev

View full text Add to dashboard Cite

show abstract

“…Lower health care costs for those living with dementia were driven by lower hospital admissions, emergency presentations, medical services, and pharmaceutical use. This has been observed previously in people with dementia in long‐term care and in the last few years of life . These differences may be a function of the baseline differences between the groups; comorbidities were marginally lower and functional status was worse for those with dementia.…”

Section: Discussionsupporting

confidence: 73%

Direct health and residential care costs of people living with dementia in Australian residential aged care

Gnanamanickam

Dyer

Milte

et al. 2018

Int J Geriat Psychiatry

View full text Add to dashboard Cite

ObjectivesThis analysis estimates the whole‐of‐system direct costs for people living with dementia in residential care by using a broad health and social care provision perspective and compares it to people without dementia living in residential care.MethodsData were collected from 541 individuals living permanently in 17 care facilities across Australia. The annual cost of health and residential care was determined by using individual resource use data and reported by the dementia status of the individuals.ResultsThe average annual whole‐of‐system cost for people living with dementia in residential care was approximately AU$88 000 (US$ 67 100) per person in 2016. The cost of residential care constituted 93% of the total costs. The direct health care costs were comprised mainly of hospital admissions (48%), pharmaceuticals (31%) and out‐of‐hospital attendances (15%). While total costs were not significantly different between those with and without dementia, the cost of residential care was significantly higher and the cost of health care was significantly lower for people living with dementia.ConclusionThis study provides the first estimate of the whole‐of‐system costs of providing health and residential care for people living with dementia in residential aged care in Australia using individual level health and social care data. This predominantly bottom‐up cost estimate indicates the high cost associated with caring for people with dementia living permanently in residential care, which is underestimated when limited cost perspectives or top‐down, population costing approaches are taken.

show abstract

“…However, psychiatric problems that could be addressed or avoided with timely mental health services all too often worsen until hospitalization is required. Other studies suggest psychiatric hospitalizations expose residents to multiple health risks such as delirium, relocation stress syndrome, and increased mortality (Becker et al, 2009; Mallick & Whipple, 2000; Ouslander, Weinberg, & Phillips, 2000). …”

Section: Outcome-based/composite Quality Measuresmentioning

confidence: 99%

“…For example, in analyses of MDS assessments from a subset of states, two separate studies failed to obtain a statistically meaningful difference in the treatment of depression across ownership types (Lapane & Hughes, 2004; Levin et al, 2007). Similarly, a study of Florida nursing homes showed no significant difference in psychiatric hospitalizations by ownership (Becker et al, 2009), and analyses of the 1987 National Medical Expenditure Survey suggested no significant difference in specialist mental health services use across nonprofit and for-profit nursing homes. Using a range of structure, process and outcome measures of quality, Castle and Shea (1998) also found little consistent evidence that for-profit nursing homes provided poorer quality of care to residents with mental illness.…”

Section: Predictors Of Quality Carementioning

confidence: 99%

Review: Quality of Mental Health Care for Nursing Home Residents: A Literature Review

Aschbrenner²,

et al. 2010

View full text Add to dashboard Cite

Because of the high proportion of nursing home residents with a mental illness other than dementia, the quality of mental health care in nursing homes is a major clinical and policy issue. The authors apply Donabedian's framework for assessing quality of care based on the triad of structure, process, and outcome-based measures in reviewing the literature on the quality of mental health care in nursing homes. Quality measures used within the literature include mental health consultations and hospitalizations, inappropriate use of medications, and mental health survey deficiencies. Factors related to the resident's welfare (nurse staffing), provider norms (locality), and financial factors (payer mix) were associated with the quality of mental health care. Although future research is necessary, the extant literature suggests that persons with mental illness are frequently admitted to nursing homes and their care is often of poor quality and related to a series of resident and facility factors.

show abstract

The association of individual and facility characteristics with psychiatric hospitalization among nursing home residents

Abstract: Both resident and facility characteristics impact risk for psychiatric hospitalization. Attention to identified predictors may reduce risk and improve outcomes for nursing home residents.

Cited by 10 publications

References 37 publications

Falls, Depression, and Other Hospitalization Risk Factors for Adults in Residential Care Facilities

Falls, Depression, and Other Hospitalization Risk Factors for Adults in Residential Care Facilities

Direct health and residential care costs of people living with dementia in Australian residential aged care

Review: Quality of Mental Health Care for Nursing Home Residents: A Literature Review

Contact Info

Product

Resources

About