| Predictors of nursing home hospitalization: a review of the literature. | |
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MedLine Citation:
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PMID: 18184869 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hospitalization of nursing home residents is costly and potentially exposes residents to iatrogenic disease and psychological harm. This article critically reviews the association between the decision to hospitalize and factors related to the residents' welfare and preferences, the providers' attitudes, and the financial implications of hospitalization. Regarding the resident's welfare, factors associated with hospitalization included sociodemographics, health characteristics, nurse staffing, the presence of ancillary services, and the use of hospices. Patient preferences (e.g., advance directives) and provider attitudes (e.g., overburdening of staff) were also associated with increased hospitalization. Finally, financial variables related to hospitalization included nursing home ownership status and state Medicaid policies, such as nursing home payment rates and bed-hold requirements. Most studies relied on potentially confounded research designs, which leave open the issue of selection bias. Nevertheless, the existing literature asserts that nursing home hospitalizations are frequent, often preventable, and related to facility practices and state Medicaid policies. |
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Authors:
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David C Grabowski; Kate A Stewart; Suzanne M Broderick; Laura A Coots |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Medical care research and review : MCRR Volume: 65 ISSN: 1077-5587 ISO Abbreviation: Med Care Res Rev Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-01-10 Completed Date: 2008-03-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9506850 Medline TA: Med Care Res Rev Country: United States |
Other Details:
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Languages: eng Pagination: 3-39 Citation Subset: IM |
Affiliation:
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Harvard Medical School, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Forecasting Hospitalization* Humans Medicaid Medicare Nursing Homes / utilization* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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