Hospital and Nursing Home Use in the Last Three Months of Life
| Autor: | Marcel E. Salive, Dwight B. Brock, Daniel J. Foley |
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| Rok vydání: | 1996 |
| Předmět: |
Male
Patient Transfer Gerontology Physical disability Episode of Care Patient Readmission Death Certificates 03 medical and health sciences Patient Admission 0302 clinical medicine Health care medicine Humans Dementia 030212 general & internal medicine Aged Aged 80 and over Community and Home Care Hospital days Terminal Care 030505 public health business.industry medicine.disease Hospitals Hospital care Nursing Homes Cost savings Female Residence Geriatrics and Gerontology 0305 other medical science Nursing homes business |
| Zdroj: | Journal of Aging and Health. 8:307-319 |
| ISSN: | 1552-6887 0898-2643 |
| DOI: | 10.1177/089826439600800301 |
| Popis: | We describe decedents' days of care and changes in residence due to episodes of hospital and institutional care in the last 90 days of life. Data are from the National Institute on Aging's Survey of the Last Days of Life (SLDOL) with informants' responses for a sample of 1,227 decedents age 65 years and older from Fairfield County, Connecticut. Overall, three-fourths of the decedents made only one transition to or from a health care facility in the last 3 months of life and another 10% made two or three transitions. Hospital days decreased slightly with age, but nursing home days increased dramatically. Physical disability, lack of social contacts, incontinence, and a diagnosis of dementia were significantly associated with a long, terminal, institutional stay. Future cost savings are likely to be achieved more through the reduction of nursing home care in the last months of life than in a reduction of hospital care. |
| Databáze: | OpenAIRE |
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