Determinants of Nursing Home Discharge Status
Determinants of Nursing Home Discharge Status
复制标题
疗养院出院状况的决定因素
DOI：
10.1097/00005650-198504000-00005
复制
发表时间：
1985
期刊：
影响因子：
3
通讯作者：
W. Scanlon
中科院分区：
文献类型：
--
作者：
W. Weissert;W. Scanlon
1977年全国疗养院调查的数据显示，超过四分之一的入院者出院回到社区。加权逻辑回归分析被用来评估病人，设施和环境特征对出院状态的影响。许多设施特征似乎对排放状态影响不大。重要的例外是家庭病人的比例得到了公共支持，特别是医疗补助。在医疗补助支持的家庭中，患者社区出院的机会显着减少。利润与非营利地位的设施并没有被证明是显着的，也没有连锁会员。重要的患者特征是婚姻状况、年龄、诊断、身体依赖、精神障碍和费用支付来源。气候是重要的，而入住率则不是。
Data From the 1977 National Nursing Home Survey show that more than one fourth of admissions are discharged back to the community. Weighted logistical regression analysis was used to assess the impacts of patient, facility, and contextual characteristics on discharge status. Many facility characteristics appear to have little effect on discharge status. The important exception is the proportion of the home's patients supported publicly, especially by Medicaid. Patients in homes that are heavily Medicaid supported have a significantly reduced chance of community discharge. Profit versus nonprofit status of the facility does not prove to be significant, nor does chain membership. Important patient characteristics are marital status, age, diagnosis, physical dependency, mental disorders, and source of payment for charges. Climate is significant, while occupancy rate is not.