Healthcare Policy, 12(2) November 2016: 76-88.doi:10.12927/hcpol.2016.24940
Background: Nursing home (NH) residents are frequently transferred to the emergency department (ED) but there is little data on inter-facility variation, which has implications for intervention planning and implementation.
Objectives: To describe variation in ED transfer rates (TRs) across NHs and the association with NH characteristics.
Design/setting: Retrospective cohort study using linked administrative data from Ontario.
Participants: 71,780 residents of 604 NHs in 2010 and followed for one year.
Measurements: Funnel plots were used to identify high transfer NHs and logistic regression to test the association with NH location, size, ownership and historical ED transfer rate.
Results: One-year ED transfer rates ranged from 4.3% to 58.6% (mean 28.4%); 115 (19%) NHs were considered high. Being within five minutes of an ED, larger size and high historical ED transfer rate were associated with being a high ED transfer home.
Conclusion: There was substantial variation across NHs. Consideration of characteristics such as proximity to an ED may be important in the development and targeting of different interventions for NHs.
This article is for subscribers only.
To view the entire article, sign in if you are a subscriber. Or select one of the options below.
Personal Subscriber? Sign In
Please note: To register for an event you must sign-in as an individual or create a personal Longwood's account. Thank you.
Be the first to comment on this!Please Sign In or Create an Account to add comments