Journal of the American Medical Directors Association
JAMDA OnlineOriginal StudyIs Aging in Place Delaying Nursing Home Admission?
Section snippets
Study Design
This was a retrospective cohort study from January 2007 to December 2012 in NYS. Inclusion criteria for the study population were as follows: older adults (65+) who received care from a home health care agency for more than 2 months at baseline, followed by a permanent transition to an NH. Individuals were excluded if gender or date of birth changed within their record, indicating irregularities in data collection.
Data Source
Outcome and Assessment Information Set (OASIS) and the Minimum Data Set (MDS)
Results
Table 1 shows selected sociodemographic characteristics of the study population. The mean age at admission to a NH was 83 years and approximately 70% were women, both characteristics remained constant during the study period. The diversity of residents at admission increased substantially; however, the proportion of Asian, black, and Hispanic residents increased by 4.0%, 4.4%, and 5.2%, respectively (P < .0001), while the proportion of white residents decreased by approximately 10%.
With respect
Discussion
Our study found that support for aging in place for the home care population can measurably delay NH admission by 8 months. This study adds to the body of knowledge about home health services, which support aging in place, and their impact on patient health and functional change, all of which inform staffing decisions for both home health agencies and NHs.
The sociodemographics of NH residents in NYS are similar to those elsewhere in the United States. At admission, NH residents are mostly
Conclusion
This study further substantiates the measurable impact of community-based home health services that facilitate aging in place that delay permanent NH entry. The health finance and policy implications are clear: aging in place is good for the patient, but CHHAs and NH directors will need to plan staffing appropriately to care for the patients' more complex needs when admission to the NH is delayed. Further research on aging-in-place initiatives should be designed with the planning needs of home
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The authors declare no conflicts of interest.