Do geriatric programs decrease long-term use of acute care beds?

C. D. Brymer, C. A. Kohm, G. Naglie, L. Shekter-Wolfson, M. L. Zorzitto, K. O'Rourke, James L Kirkland

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)885-889
Number of pages5
JournalJournal of the American Geriatrics Society
Volume43
Issue number8
StatePublished - 1995
Externally publishedYes

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Long-Term Care
Geriatrics
Patient Discharge
Community Hospital
Teaching Hospitals
Patient Transfer
Urban Hospitals
Nursing Homes
Social Work
Primary Health Care
Teaching
Odds Ratio

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Brymer, C. D., Kohm, C. A., Naglie, G., Shekter-Wolfson, L., Zorzitto, M. L., O'Rourke, K., & Kirkland, J. L. (1995). Do geriatric programs decrease long-term use of acute care beds? Journal of the American Geriatrics Society, 43(8), 885-889.

Do geriatric programs decrease long-term use of acute care beds? / Brymer, C. D.; Kohm, C. A.; Naglie, G.; Shekter-Wolfson, L.; Zorzitto, M. L.; O'Rourke, K.; Kirkland, James L.

In: Journal of the American Geriatrics Society, Vol. 43, No. 8, 1995, p. 885-889.

Research output: Contribution to journalArticle

Brymer, CD, Kohm, CA, Naglie, G, Shekter-Wolfson, L, Zorzitto, ML, O'Rourke, K & Kirkland, JL 1995, 'Do geriatric programs decrease long-term use of acute care beds?', Journal of the American Geriatrics Society, vol. 43, no. 8, pp. 885-889.
Brymer CD, Kohm CA, Naglie G, Shekter-Wolfson L, Zorzitto ML, O'Rourke K et al. Do geriatric programs decrease long-term use of acute care beds? Journal of the American Geriatrics Society. 1995;43(8):885-889.
Brymer, C. D. ; Kohm, C. A. ; Naglie, G. ; Shekter-Wolfson, L. ; Zorzitto, M. L. ; O'Rourke, K. ; Kirkland, James L. / Do geriatric programs decrease long-term use of acute care beds?. In: Journal of the American Geriatrics Society. 1995 ; Vol. 43, No. 8. pp. 885-889.
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