Table 3.
Multivariate Regression Analyses with Intensity (Visits/Week) of Nursing, Physical Therapy (PT), Home Health Aide (HHA), and All Clinical Staff Combined as Dependent Variables*
Independent Variable | b (Standard Error) P-Value | |||||||
---|---|---|---|---|---|---|---|---|
Nursing Intensity† n = 9,098 |
Physical Therapy Intensity†, ‡ n = 3,425 |
Home Health Aide Intensity†, ‡ n = 1,873 |
All Clinical Staff Intensity‡ n = 9,167 |
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Predisposing characteristics | ||||||||
African American | −0.273 (0.060) | <.001 | −0.093 (0.037) | .01 | 0.081 (0.078) | .30 | −0.316 (0.072) | <.001 |
Asian | 0.401 (0.152) | .008 | 0.069 (0.099) | .49 | −0.001 (0.263) | >.99 | 0.233 (0.182) | .20 |
Hispanic | 0.197 (0.080) | .01 | −0.118 (0.054) | .03 | 0.511 (0.118) | <.001 | −0.051 (0.095) | .59 |
Male | 0.046 (0.050) | .36 | −0.041 (0.031) | .19 | −0.081 (0.069) | .24 | −0.018 (0.060) | .77 |
Age | ||||||||
<65 | 0.137 (0.094) | .15 | −0.212 (0.061) | .001 | −0.095 (0.139) | .50 | −0.145 (0.113) | .20 |
65–74 | −0.095 (0.075) | .21 | −0.094 (0.045) | .04 | −0.078 (0.094) | .41 | −0.212 (0.090) | .02 |
75–84 | −0.072 (0.070) | .30 | −0.072 (0.040) | .07 | −0.117 (0.083) | .16 | −0.111 (0.084) | .19 |
Enabling characteristics | ||||||||
Living alone | 0.036 (0.053) | .49 | −0.116 (0.034) | .001 | 0.177 (0.073) | .01 | 0.183 (0.063) | .004 |
Medicaid eligible | −0.050 (0.061) | .41 | −0.020 (0.041) | .64 | 0.329 (0.084) | <.001 | −0.165 (0.073) | .02 |
Nonmetropolitan residence | −0.288 (0.063) | <.001 | −0.108 (0.042) | .01 | 0.099 (0.078) | .20 | −0.418 (0.075) | <.001 |
Need characteristics | ||||||||
Diabetes mellitus severity | 0.005 (0.037) | .89 | −0.085 (0.023) | <.001 | −0.069 (0.048) | .15 | −0.104 (0.044) | .02 |
Number of comorbidities | −0.127 (0.017) | <.001 | −0.014 (0.011) | .20 | 0.051 (0.023) | .02 | 0.006 (0.020) | .77 |
High risk of obesity | −0.036 (0.058) | .53 | 0.048 (0.035) | .17 | 0.038 (0.073) | .60 | 0.013 (0.069) | .85 |
Depressed mood | 0.026 (0.056) | .64 | −0.054 (0.034) | .10 | −0.096 (0.071) | .18 | 0.120 (0.068) | .08 |
Cognitive impairment | 0.089 (0.031) | .004 | −0.084 (0.019) | <.001 | 0.011 (0.039) | .77 | −0.047 (0.037) | .20 |
Short of breath | 0.015 (0.022) | .48 | −0.018 (0.013) | .17 | 0.035 (0.029) | .22 | −0.008 (0.026) | .76 |
Open wounds | 0.345 (0.052) | <.001 | 0.005 (0.031) | .87 | −0.073 (0.067) | .28 | 0.386 (0.063) | <.001 |
Urinary incontinence | −0.104 (0.054) | .05 | −0.057 (0.032) | .07 | −0.016 (0.067) | .81 | −0.041 (0.065) | .52 |
Activity of daily living index | −0.010 (0.022) | .66 | 0.034 (0.013) | .01 | 0.113 (0.029) | <.001 | 0.269 (0.026) | <.001 |
Instrumental activity of daily living index | 0.003 (0.024) | .89 | 0.034 (0.016) | .03 | −0.010 (0.038) | .80 | 0.070 (0.028) | .01 |
Geographic region | ||||||||
Northeast | −0.032 (0.076) | .67 | −0.260 (0.046) | <.001 | −0.278 (0.112) | .01 | −0.320 (0.091) | <.001 |
Midwest | −0.317 (0.062) | <.001 | −0.070 (0.038) | .06 | −0.030 (0.086) | .73 | −0.408 (0.075) | <.001 |
West | −0.257 (0.066) | <.001 | −0.270 (0.041) | <.001 | 0.526 (0.088) | <.001 | −0.233 (0.079) | .003 |
For the total study sample, mean number of nursing visits/week was 2.4 ± 2.2, mean number of PT visits/week for those with ≥1 visits was 1.4 ± 0.9, mean number of HHA visits/week for those with ≥1 visits was 1.8 ± 1.4, and mean number of visits/week from all clinical staff was 3.4 ± 2.3.
Intensity = visits per week = (total number of visits in episode of care)/(length of episode of care in days) × 7.
Patients with ≥1 visits included in analysis.