TY - JOUR
T1 - Do Geriatric Programs Decrease Long‐Term Use of Acute Care Beds?
AU - Brymer, Christopher D.
AU - Kohm, Catherine A.
AU - Naglie, Gary
AU - Shekter‐Wolfson, Lorie
AU - Zorzitto, Marissa L.
AU - O'Rourke, Keith
AU - Kirkland, James L.
N1 - Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 1995/8
Y1 - 1995/8
N2 - OBJECTIVE: To determine whether the introduction of coordinated geriatric and discharge planning services at teaching and community hospitals in Toronto has changed the number of beds occupied by patients awaiting transfer to long‐term care institutions. DESIGN: Retrospective review of social work records for the period 1985–1992. SETTING: Two tertiary and four primary acute care hospitals in Metropolitan Toronto. PARTICIPANTS: Hospitals were matched for location, acuity, and teaching affiliation. MAIN OUTCOME MEASURES: The numbers of beds occupied by patients awaiting transfer to nursing homes or chronic care hospitals were noted. RESULTS: In those teaching and community hospitals that had introduced coordinated geriatric and discharge planning services, there was a reduction in the percentage of beds occupied by patients awaiting long‐term care placement (average −51%), whereas in hospitals without geriatric services, the percentage of beds occupied by patients awaiting long‐term care placement increased (average +25%) (P = .05 by Fisher's exact method, 95% confidence limit odds ratio 0, .9999). CONCLUSION: The introduction of coordinated geriatric and discharge planning services was associated with a decrease in the percentage of beds occupied by patients awaiting long‐term care in both teaching and community hospitals. J Am Geriatr Soc 43:885–889, 1995. 1995 The American Geriatrics Society
AB - OBJECTIVE: To determine whether the introduction of coordinated geriatric and discharge planning services at teaching and community hospitals in Toronto has changed the number of beds occupied by patients awaiting transfer to long‐term care institutions. DESIGN: Retrospective review of social work records for the period 1985–1992. SETTING: Two tertiary and four primary acute care hospitals in Metropolitan Toronto. PARTICIPANTS: Hospitals were matched for location, acuity, and teaching affiliation. MAIN OUTCOME MEASURES: The numbers of beds occupied by patients awaiting transfer to nursing homes or chronic care hospitals were noted. RESULTS: In those teaching and community hospitals that had introduced coordinated geriatric and discharge planning services, there was a reduction in the percentage of beds occupied by patients awaiting long‐term care placement (average −51%), whereas in hospitals without geriatric services, the percentage of beds occupied by patients awaiting long‐term care placement increased (average +25%) (P = .05 by Fisher's exact method, 95% confidence limit odds ratio 0, .9999). CONCLUSION: The introduction of coordinated geriatric and discharge planning services was associated with a decrease in the percentage of beds occupied by patients awaiting long‐term care in both teaching and community hospitals. J Am Geriatr Soc 43:885–889, 1995. 1995 The American Geriatrics Society
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U2 - 10.1111/j.1532-5415.1995.tb05531.x
DO - 10.1111/j.1532-5415.1995.tb05531.x
M3 - Article
C2 - 7636096
AN - SCOPUS:0029153068
SN - 0002-8614
VL - 43
SP - 885
EP - 889
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 8
ER -