当前位置： SCI文献检索 > GERONTOLOGY期刊下所有文献 > Association between Type of Residence and Clinical Signs of Neglect in Older Adults.

Association between Type of Residence and Clinical Signs of Neglect in Older Adults.

Abstract：

BACKGROUND:Studies have demonstrated that measures of lower quality of care and associated adverse health effects are more prevalent in for-profit nursing homes compared to not-for-profit facilities. However, these studies omit persons who receive care in the community setting, and exclusively focus on isolated clinical signs that may obscure the true effect size, since these clinical signs rarely occur in isolation. OBJECTIVE:In this study, we use the Clinical Signs of Neglect Scale (CSNS), which is an aggregate measure of clinical signs of neglect and substandard care, to evaluate the association of residence type on health outcomes among individuals living in both private community residences and for-profit and not-for-profit long-term care facilities. METHODS:In a multicenter, retrospective data analysis of 1,149 patients identified from an inpatient hospital registry, we assessed the relationship between residence type (community dwelling, not-for-profit, and for-profit facilities) and clinical signs of neglect. Adjusted parameter estimates and 95% CIs were estimated with linear regression in 3 models using different reference groups. RESULTS:The most serious clinical signs were consistently more prevalent among residents of for-profit facilities, as were measures of poor institutional quality. Relative to low-functioning community-dwelling patients, the mean difference in CSNS scores was higher among patients residing in not-for-profit facilities by 1.99 (p = 0.012) and 3.55 (p ≤ 0.001) among patients in for-profit facilities. In a separate model, the mean difference in CSNS scores among patients living in for-profit facilities compared to not-for-profit facilities was 1.90 (p = 0.035). CONCLUSIONS:Using an aggregate measure, our findings support prior studies demonstrating an association between residence type and adverse health outcomes for disabled elderly.

journal_name

Gerontology

journal_title

Gerontology

authors

Friedman L,Avila S,Friedman D,Meltzer W

doi

10.1159/000492029

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

30-39

issue

eissn

0304-324X

issn

1423-0003

pii

000492029

journal_volume

pub_type

杂志文章,多中心研究

在线工具

Association between Type of Residence and Clinical Signs of Neglect in Older Adults.