Health Outcomes From Assisted Living Facilities: A Cohort Study of a Primary Care Practice

Mairead M. Bartley; Stephanie M. Quigg; Anupam Chandra; Paul Y. Takahashi

doi:10.1016/j.jamda.2017.12.079

Health Outcomes From Assisted Living Facilities: A Cohort Study of a Primary Care Practice

Mairead M. Bartley, Stephanie M. Quigg, Anupam Chandra, Paul Y. Takahashi

Primary Care Internal Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

The population of older adults residing in assisted living facilities (ALF) in the United States is growing, yet health data about this population is relatively sparse. We aimed to compare health outcomes of ALF residents with those of age- and sex-matched community dwelling adults in a retrospective cohort study of 808 older adults. Linear regression analyses were conducted to describe the relationship between ALF residency and our outcomes of hospitalizations within 1 year of the index date (earliest recorded date in the ALF), 30-day rehospitalization following index hospitalization, emergency department (ED) visits, and mortality at 1 year. Hospitalizations were significantly greater for ALF residents than for controls. The odds of death for ALF residents were approximately twice that of controls. Falls and ED visits were also significantly greater for ALF residents. The ALF population requires targeted geriatric and primary care models if we are to effectively meet the needs of this growing population.

Original language	English (US)
Journal	Journal of the American Medical Directors Association
Volume	19
Issue number	3
DOIs	https://doi.org/10.1016/j.jamda.2017.12.079
State	Published - Mar 1 2018

Keywords

assisted living
outcomes
primary care

ASJC Scopus subject areas

Nursing(all)
Health Policy
Geriatrics and Gerontology

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title = "Health Outcomes From Assisted Living Facilities: A Cohort Study of a Primary Care Practice",

abstract = "The population of older adults residing in assisted living facilities (ALF) in the United States is growing, yet health data about this population is relatively sparse. We aimed to compare health outcomes of ALF residents with those of age- and sex-matched community dwelling adults in a retrospective cohort study of 808 older adults. Linear regression analyses were conducted to describe the relationship between ALF residency and our outcomes of hospitalizations within 1 year of the index date (earliest recorded date in the ALF), 30-day rehospitalization following index hospitalization, emergency department (ED) visits, and mortality at 1 year. Hospitalizations were significantly greater for ALF residents than for controls. The odds of death for ALF residents were approximately twice that of controls. Falls and ED visits were also significantly greater for ALF residents. The ALF population requires targeted geriatric and primary care models if we are to effectively meet the needs of this growing population.",

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N2 - The population of older adults residing in assisted living facilities (ALF) in the United States is growing, yet health data about this population is relatively sparse. We aimed to compare health outcomes of ALF residents with those of age- and sex-matched community dwelling adults in a retrospective cohort study of 808 older adults. Linear regression analyses were conducted to describe the relationship between ALF residency and our outcomes of hospitalizations within 1 year of the index date (earliest recorded date in the ALF), 30-day rehospitalization following index hospitalization, emergency department (ED) visits, and mortality at 1 year. Hospitalizations were significantly greater for ALF residents than for controls. The odds of death for ALF residents were approximately twice that of controls. Falls and ED visits were also significantly greater for ALF residents. The ALF population requires targeted geriatric and primary care models if we are to effectively meet the needs of this growing population.

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Health Outcomes From Assisted Living Facilities: A Cohort Study of a Primary Care Practice

Abstract

Keywords

ASJC Scopus subject areas

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