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The Gerontologist, Vol 31, Issue 6 795-806, Copyright © 1991 by The Gerontological Society of America
ARTICLES |
JA Teresi, D Holmes, HG Bloom, C Monaco and S Rosen
Hebrew Home for the Aged, Riverdale, NY 10471.
This paper examines the factors that account for differences among nursing homes in terms of the rates at which they transfer patients to hospitals. Data from nursing staff and charts were collected on the 286 most recent transfers from 10 nursing homes. Discriminant function analyses indicated that from relatively equivalent patient populations, high-rate facilities tended to transfer the more chronically ill, physically frail patients; patients with infection (a potentially treatable condition within the long-term care facility); and to make transfers because of lack of resources such as a lab and X-ray equipment. Lack of IV therapy, while a frequently cited primary nonmedical reason for transfer, did not discriminate between high- and low-transfer-rate facilities.
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