What Predicts Health Care Transitions for Older Adults Following Introduction of LTSS?

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society
Karen B HirschmanMary D Naylor

Abstract

Objective: To determine predictors of health care transitions (i.e., acute care service use, transfers from lower to higher intensity services) among older adults new to long-term services and supports [LTSS]. Method: 470 new LTSS recipients followed for 24 months. Multivariable Poisson regression modeling within a generalized estimating equation framework. Results: Being male, having multiple chronic conditions, lower self-reported physical health ratings and lower quality of life ratings at baseline were associated with increased risk of health care transitions. Older adults in assisted living communities and nursing homes experienced decreases in health care transitions over time, while LTSS recipients at home had no change in risk. LTSS recipients who had orders to receive therapy, compared with those who did not, had a lower relative risk of transitions over time. Discussion: Predictors of future health care transitions support the need for LTSS providers to anticipate and monitor this risk for LTSS recipients.

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Jan 1, 1991·Social Science & Medicine·C D Sherbourne, A L Stewart
Jan 1, 1982·Journal of Psychiatric Research·J A YesavageV O Leirer
Mar 1, 1995·Journal of Health and Social Behavior·R M Andersen
Jul 1, 1993·American Journal of Public Health·B M PosnerD R Miller
Jan 1, 1993·Journal of Community Health Nursing·S M Heidrich, D D'Amico
May 3, 2002·Journal of Neurology·Crispin JenkinsonUNKNOWN ALS-HPS Steering Group. Amyotrophic Lateral Sclerosis Health Profile Study
Sep 21, 1963·JAMA : the Journal of the American Medical Association·S KATZM W JAFFE
Sep 27, 2007·Medical Care Research and Review : MCRR·R Tamara KonetzkaM Rhona Limcangco
Jan 11, 2008·Medical Care Research and Review : MCRR·David C GrabowskiLaura A Coots
Feb 7, 2009·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Verena H MenecDawn Veselyuk
Apr 1, 2011·Journal of the American Medical Directors Association·Orah R BurackRachel A Annunziato
Apr 1, 2011·Journal of the American Medical Directors Association·Marion BeckerAnne DeMuth
Jan 5, 2014·Journal of the American Geriatrics Society·Mark TolesCathleen Colón-Emeric
Feb 25, 2014·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Paloma Gómez-CampeloUNKNOWN Health and Immigration Group
Dec 2, 2014·Annals of Internal Medicine·Amy J H KindMaureen Smith
Apr 17, 2015·Journal of Palliative Medicine·Timothy R HoldenAmy J H Kind
Apr 22, 2015·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Judith GodinJohn P Hirdes
Jul 1, 2015·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Stipica MudrazijaJacqueline L Angel
Jul 17, 2015·Medical Care Research and Review : MCRR·Melissa O'ConnorPenny H Feldman
Jul 23, 2015·Journal of the American Geriatrics Society·Christopher M CallahanDaniel O Clark
Sep 29, 2015·Journal of the American Medical Directors Association·Mary D NaylorCynthia Zubritsky
Dec 26, 2015·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Rosemary M McandrewGary J Young
Nov 12, 2016·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Diane E BerishJane K Straker
Apr 4, 2017·Journal of the American Geriatrics Society·Shi-Yi WangElizabeth Bradley
Apr 7, 2017·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Chanee D Fabius, Julie Robison
Nov 8, 2017·Journal of the American Medical Directors Association·Shuang LiJames S Goodwin

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Jul 25, 2020·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Charlene C QuinnAnn L Gruber-Baldini

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