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Hospital Provision of Institutional Long-Term Care

Pattern and Correlates

^a School of Public Health, University of Illinois at Chicago
^b Department of Sociology, University of Illinois at Chicago
^c School of Public Health, University of Michigan

Correspondence: Naoko Muramatsu, PhD, School of Public Health, University of Illinois at Chicago, 2035 West Taylor Street, Chicago, IL 60612-7259. E-mail: naoko{at}uic.edu.

Decision Editor: Laurence G. Branch, PhD

Purpose: This study examined the pattern and correlates of institutional long-term care provision among U.S. community hospitals, differentiating two categories of services: (1) skilled nursing and rehabilitation (SN-R) and (2) other long-term care (O-LTC). Design and methods: Multinomial logistic regression analysis was used to examine the associations of hospital and community characteristics with the pattern of long-term care provision (SN-R only, O-LTC only, both SN-R and O-LTC, and None) among 3,842 hospitals. Results: The pattern of long-term care provision was significantly associated with hospitals' mission (for-profit and teaching status) and their internal and external resources. Implications: Results suggest the importance of considering hospital and community characteristics in predicting the impact of policy changes and in envisioning the role of hospitals in long-term care.

Key Words: Skilled nursing care • Rehabilitation services • Acute care • Continuum of care • Organizational study

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