Skip to main content
PMC home page
Health Services Research logoLink to Health Services Research
. 1989 Oct;24(4):485–510.

Toward a model for improved targeting of aged at risk of institutionalization.

W G Weissert 1, C M Cready 1
PMCID: PMC1065580  PMID: 2807934

Abstract

A national sample of institutionalized and noninstitutionalized aged was created by merging the 1977 National Nursing Home Survey and its counterpart, the National Health Interview Survey for the same year. A weighted logistic regression analysis was conducted to identify factors that might be useful in calculating home- and community-based long-term care clients' risk of institutionalization. A model containing patient characteristics, nursing home bed supply, and a climate variable correctly classified 98.2 percent of cases residing in nursing homes or the community. Physical dependency, mental disorder and degenerative disease, lack of spouse, being white, poverty, old age, unoccupied nursing home beds, and climate all appear to be determinants of institutional residency among the aged.

Full text

PDF
487

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Branch L. G., Jette A. M. A prospective study of long-term care institutionalization among the aged. Am J Public Health. 1982 Dec;72(12):1373–1379. doi: 10.2105/ajph.72.12.1373. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Brock A. M., O'Sullivan P. A study to determine what variables predict institutionalization of elderly people. J Adv Nurs. 1985 Nov;10(6):533–537. doi: 10.1111/j.1365-2648.1985.tb00544.x. [DOI] [PubMed] [Google Scholar]
  3. Cohen M. A., Tell E. J., Wallack S. S. Client-related risk factors of nursing home entry among elderly adults. J Gerontol. 1986 Nov;41(6):785–792. doi: 10.1093/geronj/41.6.785. [DOI] [PubMed] [Google Scholar]
  4. D'Ambra M. N., Risk S. C. Aprotinin, erythropoietin, and blood substitutes. Int Anesthesiol Clin. 1990 Fall;28(4):237–240. [PubMed] [Google Scholar]
  5. Evashwick C., Rowe G., Diehr P., Branch L. Factors explaining the use of health care services by the elderly. Health Serv Res. 1984 Aug;19(3):357–382. [PMC free article] [PubMed] [Google Scholar]
  6. Greenberg J. N., Ginn A. A multivariate analysis of the predictors of long-term care placement. Home Health Care Serv Q. 1979 Spring;1(1):75–99. doi: 10.1300/J027v01n01_04. [DOI] [PubMed] [Google Scholar]
  7. KATZ S., FORD A. B., MOSKOWITZ R. W., JACKSON B. A., JAFFE M. W. STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION. JAMA. 1963 Sep 21;185:914–919. doi: 10.1001/jama.1963.03060120024016. [DOI] [PubMed] [Google Scholar]
  8. Katz S., Akpom C. A. A measure of primary sociobiological functions. Int J Health Serv. 1976;6(3):493–508. doi: 10.2190/UURL-2RYU-WRYD-EY3K. [DOI] [PubMed] [Google Scholar]
  9. McCoy J. L., Edwards B. E. Contextual and sociodemographic antecedents of institutionalization among aged welfare recipients. Med Care. 1981 Sep;19(9):907–921. doi: 10.1097/00005650-198109000-00003. [DOI] [PubMed] [Google Scholar]
  10. Morris J. N., Gutkin C. E., Ruchlin H. S., Sherwood S. Housing and case-managed home care programs and subsequent institutional utilization. Gerontologist. 1987 Dec;27(6):788–796. doi: 10.1093/geront/27.6.788. [DOI] [PubMed] [Google Scholar]
  11. Palmore E. Total chance of institutionalization among the aged. Gerontologist. 1976 Dec;16(6):504–507. doi: 10.1093/geront/16.6.504. [DOI] [PubMed] [Google Scholar]
  12. Scanlon W. J. A theory of the nursing home market. Inquiry. 1980 Spring;17(1):25–41. [PubMed] [Google Scholar]
  13. Spector W. D., Katz S., Murphy J. B., Fulton J. P. The hierarchical relationship between activities of daily living and instrumental activities of daily living. J Chronic Dis. 1987;40(6):481–489. doi: 10.1016/0021-9681(87)90004-x. [DOI] [PubMed] [Google Scholar]
  14. Unger A., Weissert W. G. Data for long-term care planning. Application of a synthetic estimation technique. Res Aging. 1988 Jun;10(2):194–219. doi: 10.1177/0164027588102003. [DOI] [PubMed] [Google Scholar]
  15. Vicente L., Wiley J. A., Carrington R. A. The risk of institutionalization before death. Gerontologist. 1979 Aug;19(4):361–367. doi: 10.1093/geront/19.4.361. [DOI] [PubMed] [Google Scholar]
  16. Weissert W. G. Estimating the long-term care population: prevalence rates and selected characteristics. Health Care Financ Rev. 1985 Summer;6(4):83–91. [PMC free article] [PubMed] [Google Scholar]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust

RESOURCES