A longitudinal analysis of nursing home outcomes.

摘要: Abstract OBJECTIVE: To investigate resident and facility attributes associated with long-term care health outcomes in nursing homes. DATA SOURCES: Quarterly Management Minutes Questionnaire (MMQ) survey data for Medicaid case-mix reimbursement of homes Massachusetts from 1991 to 1994, specification attributes. Facility are specified cost report data. STUDY DESIGN: Multivariate logistic "state-dependence" regression models estimated survival, ADL functional status, incontinence mental status longitudinal residence histories residents spanning 3 36 months length. Outcomes be a function demographic diagnostic facility-level operating nurse staffing PRINCIPAL FINDINGS: The parameters showed great deal construct validity respect clinical expectations regarding risk factors adverse outcomes. Few were generally, none was significantly all four CONCLUSIONS: absence uniform associations between the various studied suggests that strong performance on one outcome may coexist much weaker other This has implications aggregation individual measures multiple development overall measures.