Original studyNursing Home Involuntary Relocation: Clinical Outcomes and Perceptions of Residents and Families
Section snippets
Methods
This is a secondary analysis of a longitudinal, prospective quasi-experimental intervention study. The primary study tested the effect of an advanced practice nurse intervention on physical and mental health outcomes of involuntarily relocated nursing home residents.
Results
Receiving facility characteristics are described in Table 1. All facilities were located in the Philadelphia metropolitan area, compared to 60% of nursing homes nationally that are in urban locations. The average bed size of the receiving facilities was 170.1 beds (SD = 87.4), more than twice the national average. The percentage of proprietary ownership (60.9%) and chain affiliation (56.5%) approximated national comparison data.
Resident demographic characteristics are presented in Table 2. The
Discussion
Although the study facility and residents’ demographic characteristics do not reflect a typical American nursing home and its residents, they do mirror the population of nursing homes that are generally likely to close. Facilities that depend primarily on Medicaid funding are at greatest risk of closure since they do not have the financial resources to respond to negative government surveys.28, 29 African Americans are 4 times more likely than whites to reside in facilities at risk of closure.30
Conclusion
Nursing homes will continue to close because of financial problems resulting from civil litigation and government sanctions, or, as in this case, as a result of the inability of a hospital system to adequately provide nursing home care.29, 49 In 2002, the Public Policy Institute of the American Association of Retired Persons released an issue paper regarding nursing home closure. It encouraged a uniform protocol for tracking residents after relocation as well as a central point of coordination
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This study was supported by a grant authorized through a settlement agreement between the United States Department of Justice (United States Attorney’s Office for the Eastern District of Pennsylvania) and a large hospital health system.
Disclaimer: The opinions set worth in this manuscript express the views of the authors, not the views of the United States Attorney’s Office for the Eastern District of Pennsylvania or any other entity or person associated with the United States Department of Justice.