Predictors of Nursing Home Hospitalization
Predictors of Nursing Home Hospitalization
复制标题
疗养院住院的预测因素
DOI：
--
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发表时间：
2008
影响因子：
2.5
通讯作者：
Laura A. Coots
中科院分区：
文献类型：
--
作者：
D. Grabowski;Kate A. Stewart;S. Broderick;Laura A. Coots
疗养院居民的住院费用昂贵，并可能使居民暴露于医源性疾病和心理伤害。本文批判性地回顾了住院决定与居民的福利和偏好、提供者的态度以及住院的财务影响等因素之间的关系。关于居民的福利，与住院相关的因素包括社会人口统计学、健康特征、护士配备、辅助服务的存在以及临终关怀的使用。患者偏好（例如，预先指示）和提供者态度（例如，工作人员负担过重）也与住院率增加有关。最后，与住院相关的财务变量包括养老院所有权状况和州医疗补助政策，如养老院支付率和床位要求。大多数研究依赖于可能混淆的研究设计，这留下了选择偏差的问题。然而，现有文献表明，疗养院住院是频繁的，通常是可以预防的，并且与设施实践和国家医疗补助政策有关。
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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DOI：
10.1093/gerona/51a.1.m29
发表时间：
1996-01-01
影响因子：
5.1
作者：
Gillen, P;Spore, D;Freiberger, W
通讯作者：
Freiberger, W
疗养院居民住院率的变化：酌情住院的作用。
影响因子：
3.4
作者：
Carter,MaryW
通讯作者：
Carter,MaryW
非裔美国人和非拉丁裔白人疗养院居民的临终住院治疗：因种族和设施的种族构成而异。
DOI：
10.1089/jpm.2005.8.58
发表时间：
2005
期刊：
Journal of palliative medicine.
影响因子：
--
作者：
Mor,Vincent;Papandonatos,George;Miller,SusanC
通讯作者：
Miller,SusanC
DOI：
10.1093/gerona/58.3.m271
发表时间：
2003
期刊：
The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子：
--
作者：
Cohen-Mansfield,Jiska;Lipson,Steven
通讯作者：
Lipson,Steven