In:
Canadian Journal on Aging / La Revue canadienne du vieillissement, Cambridge University Press (CUP), Vol. 33, No. 1 ( 2014-03), p. 38-48
Kurzfassung:
This study examined how nursing home facility ownership and organizational characteristics relate to emergency department (ED) transfer rates. The sample included a retrospective cohort of nursing home residents in the Vancouver Coastal Health region ( n = 13,140). Rates of ED transfers were compared between nursing home ownership types. Administrative data were further linked to survey-derived data of facility organizational characteristics for exploratory analysis. Crude ED transfer rates (transfers/100 resident years) were 69, 70, and 51, respectively, in for-profit, non-profit, and publicly owned facilities. Controlling for sex and age, public ownership was associated with lower ED transfer rates compared to for-profit and non-profit ownership. Results showed that higher total direct-care nursing hours per resident day, and presence of allied health staff – disproportionately present in publicly owned facilities – were associated with lower transfer rates. A number of other facility organizational characteristics – unrelated to ownership – were also associated with transfer rates.
Materialart:
Online-Ressource
ISSN:
0714-9808
,
1710-1107
DOI:
10.1017/S0714980813000615
Sprache:
Englisch
Verlag:
Cambridge University Press (CUP)
Publikationsdatum:
2014
ZDB Id:
2166531-X