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Can J Aging. 2014 Mar;33(1):38-48. doi: 10.1017/S0714980813000615. Epub 2014 Jan 3.

Nursing home characteristics associated with resident transfers to emergency departments.

Author information

1
Department of Family Practice, University of British Columbia.
2
Vancouver Coastal Health Research Institute Centre for Clinical Epidemiology & Evaluation.
3
Centre for Health Services and Policy Research, University of British Columbia.
4
Emergency and Health Services Commission.
5
School of Nursing, University of British Columbia.
6
Department of Statistics, University of British Columbia.

Abstract

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.

PMID:
24398137
DOI:
10.1017/S0714980813000615
[Indexed for MEDLINE]

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