American Journal of Alzheimer's Disease and Other Dementias®

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for more information

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Carter, M. W.
Right arrow Articles by Porell, F. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Carter, M. W.
Right arrow Articles by Porell, F. W.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
American Journal of Alzheimer's Disease and Other Dementias®, Vol. 20, No. 6, 349-358 (2005)
DOI: 10.1177/153331750502000605
© 2005 SAGE Publications

Vulnerable populations at risk of potentially avoidable hospitalizations: The case of nursing home residents with Alzheimer's disease

Mary W. Carter, PhD

Center on Aging and Department of Community Medicine, West Virginia University School of Medicine, Morgantown, West Virginia.

Frank W. Porell, PhD

Gerontology Department, University of Massachusetts-Boston, Boston, Massachusetts.

This study explores whether nursing home residents with Alzheimer's disease and related dementias (ADRD) are affected differently by facility-level risk factors of ambulatory care-sensitive (ACS) conditions, a measure of timely access to medical care. Three years of quarterly Medicaid reimbursement data from over 525 Massachusetts nursing homes were linked with four years of Medical Provider Analysis and Review hospital claims data and facility-level attribute data to investigate whether facility effects differed by resident ADRD status. The findings suggest that nursing home residents with ADRD are more likely to be hospitalized for certain ACS conditions, including gastroenteritis and kidney/urinary tract infections. Availability of increased registered nurse staffing levels and on-site nurse practitioners appears to attenuate this risk. Although findings suggest that ACS hospitalization measures may represent a useful approach to monitoring nursing home care, additional effort is needed to understand the extent to which severity of illness and/or comorbidities affect the measurement of these hospitalizations.

Key Words: nursing homes • hospitalizations • ambulatory care • dementia • Alzheimer's disease


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Med Care Res RevHome page
D. C. Grabowski, K. A. Stewart, S. M. Broderick, and L. A. Coots
Predictors of Nursing Home Hospitalization: A Review of the Literature
Med Care Res Rev, February 1, 2008; 65(1): 3 - 39.
[Abstract] [PDF]

Home page
 GerontologistHome page
A. Gruneir, S. C. Miller, O. Intrator, and V. Mor
Hospitalization of Nursing Home Residents With Cognitive Impairments: The Influence of Organizational Features and State Policies
Gerontologist, August 1, 2007; 47(4): 447 - 456.
[Abstract] [Full Text] [PDF]