Modeling Indicators of Patient Long-term Care Placement

By Lori A. Post, Robert J. Griffore and Lillian A. Phenice.

Published by The International Journal of Health, Wellness and Society

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Patient characteristics are modeled to predict long-term care placement. Data are derived from a random digit dial survey of individuals who had a relative receiving long-term care in Michigan. Multiple logistic regression was used to develop a model to predict selection of long-term care setting. Total activities of daily living contributed significantly to the model. One unit increases in activities of daily living increased the odds of selecting home care over nursing home care. Medical conditions did not contribute to the model, suggesting that in some cases meeting the needs of medical condition management may be possible through quality home care services. Respondents also reported higher satisfaction with care received at home compared to respondents with relatives in nursing homes. Because home-help/care funding is not as available, some people may be choosing nursing homes rather than home care despite higher satisfaction levels for care received at home.

Keywords: Long-term Care, Activities of Daily Living, Disabilities

The International Journal of Health, Wellness and Society, Volume 1, Issue 2, pp.103-114. Article: Print (Spiral Bound). Article: Electronic (PDF File; 740.276KB).

Dr. Lori A. Post

Associate Professor, Department of Emergency Medicine, Yale University, New Haven, CT, USA

Dr. Post is Associate Professor in the Department of Emergency Medicine at the Yale School of Medicine. Her research expertise is in measurement and injury prevention from a public health perspective.

Dr. Robert J. Griffore

Professor, Department of Human Development and Family Studies, Michigan State University, East Lansing, Michigan, USA

Robert J. Griffore is Professor in the Michigan State University College of Social Science, Department of Human Development and Family Studies. His current research is focused on human development, gerontology, and families.

Dr. Lillian A. Phenice

Professor, Department of Human Development and Family Studies, Michigan State University, East Lansing, Michigan, USA

Lillian A. Phenice is Professor in the Michigan State University College of Social Science, Department of Human Development and Family Studies. Her current research is focused on human development, gerontology, and families.