Rurality and Nursing Home Quality: Results from a National Sample of Nursing Home Admissions.
Objectives. We examined differences in quality of care among nursing homes in locales of varying degrees of rurality. Methods. We classified locales into 4 classes according to rurality. We analyzed a 10% sample of nursing home admissions in the United States in 2000 (n = 198613) to estimate surviva...
| Published in: | American Journal of Public Health Vol. 94; no. 10; pp. 1717 - 1723 |
|---|---|
| Main Authors: | , , |
| Format: | Article |
| Published: |
American Public Health Association
Oct2004
|
| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=507936190&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 507936190 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Oct2004 vid: 94 iid: 10 pid: 44 pub: American Public Health Association artinfo: ui: 507936190 10.2105/AJPH.94.10.1717 ppf: 1717 ppct: 6 formats: tig: atl: Rurality and Nursing Home Quality: Results from a National Sample of Nursing Home Admissions. aug: au: Phillips, Charles D. Holan, Scott Sherman, Michael su: Rural urban differences Nursing home care quality control Rural health services United States sug: subj: United States Rural urban differences Nursing home care quality control Rural health services ab: Objectives. We examined differences in quality of care among nursing homes in locales of varying degrees of rurality. Methods. We classified locales into 4 classes according to rurality. We analyzed a 10% sample of nursing home admissions in the United States in 2000 (n = 198613) to estimate survival models for 9 quality indicators. Results. For postacute admissions, we observed significant differences in rates of decline for residents in facilities in large towns compared with urban areas, but differences in quality were both negative and positive. Among admissions for long-term or chronic care, rates of decline in 2 of 9 quality areas were lower for residents in isolated areas. Conclusions. We observed significant differences in a number of quality indicators among different classes of nursing home locations, but differences varied dramatically according to type of admission. These differences did not exhibit the monotonicity that we would have expected had they derived solely from rurality. Also, quality indicators exhibited more similarities than differences across the 4 classes of locales. The results underscore the importance, in some instances, of emphasizing the effects of specific settings rather than some continuum of rurality and of moving beyond the assumption that nursing home residents constitute a homogeneous population. (Am J Public Health. 2004;94:1717-1722) Reprinted by permission of the publisher. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|