The Gerontologist
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
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 Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Arling, G.
Right arrow Articles by Kopp, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Arling, G.
Right arrow Articles by Kopp, D.
The Gerontologist 40:587-595 (2000)
© 2000 The Gerontological Society of America

Therapy Use and Discharge Outcomes for Elderly Nursing Home Residents

Greg Arling, PhDa, Arthur R. Williams, PhDa and Donna Kopp, PTa,b

a Cookingham Institute, Bloch School of Business and Public Administration, University of Missouri at Kansas City, MO
b Currently at Medicalodges, Inc., Kansas City, KS

Correspondence: Greg Arling, PhD, Room 308, Bloch School of Business and Public Administration, University of Missouri at Kansas City, 5100 Rockhill Road, Kansas City, MO 64100. E-mail: arlingg{at}umkc.edu.

May 12, 1999 Accepted March 6, 2000 Decision Editor: Vernon L. Greene, PhD

This study examines therapy use and discharge outcomes (community discharge, mortality, or remaining in the facility) over a 90-day period for 1,419 elderly, post-acute care nursing home admissions in South Dakota. Subjects met criteria as rehabilitation candidates (i.e., absence of serious behavioral or medical conditions that would limit rehabilitation potential). Receipt of therapies was related significantly to age (younger), Medicare coverage, hip fracture or stroke diagnosis, absence of cancer diagnosis, and resident or staff expectations for functional improvement. Therapy use was related positively to community discharge and negatively to mortality when controlling for covariates such as age, marital status, payment source, functional status, cognitive status, and major diagnoses. Also, community discharge was related positively to the facility's volume of therapy provision and percentage of Medicare-covered stays.

Key Words: Rehabilitation • Medicare • Mortality • Community discharge • Polytomous regression




This article has been cited by other articles:


Home page
J Aging HealthHome page
F. H. Decker
Dying in a Nursing Home: The Role of Local Bed Supply in Nursing Home Discharges
J Aging Health, February 1, 2008; 20(1): 66 - 88.
[Abstract] [PDF]


Home page
GerontologistHome page
J. Y. Yip, K. H. Wilber, and R. C. Myrtle
The Impact of the 1997 Balanced Budget Amendment's Prospective Payment System on Patient Case Mix and Rehabilitation Utilization in Skilled Nursing
Gerontologist, October 1, 2002; 42(5): 653 - 660.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
All GSA journals Journals of Gerontology Series A: Biological Sciences and Medical Sciences Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Copyright © 2000 by The Gerontological Society of America.