A survey of nursing home organizational characteristics associated with potentially avoidable hospital transfers and care quality in one large british columbia health region

Research

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Publication Topics

A survey of nursing home organizational characteristics associated with potentially avoidable hospital transfers and care quality in one large british columbia health region

Title
Publication TypeJournal Article
Year of Publication2011
AuthorsMcGregor MJ, Baumbusch J, Abu-Laban RB, McGrail KM, Andrusiek D, Globerman J, Berg S, Cox MB, Salomons K, Volker J, Ronald L
JournalCanadian journal on aging = La revue canadienne du vieillissementCan.J.Aging
Volume30
Issue4
Pages551 - 561
Date Published2011
AbstractHospitalization of nursing home residents can be futile as well as costly, and now evidence indicates that treating nursing home residents in place produces better outcomes for some conditions. We examined facility organizational characteristics that previous research showed are associated with potentially avoidable hospital transfers and with better care quality. Accordingly, we conducted a cross-sectional survey of nursing home directors of care in Vancouver Coastal Health, a large health region in British Columbia. The survey addressed staffing levels and organization, physician access, end-of-life care, and factors influencing facility-to-hospital transfers. Many of the modifiable organizational characteristics associated in the literature with potentially avoidable hospital transfers and better care quality are present in nursing homes in British Columbia. However, their presence is not universal, and some features, especially the organization of physician care and end-of-life planning and services, are particularly lacking.
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