Table 3.
Multivariable logistic regression analysis on the factors related to the closure of home-visit nursing agencies by years of operation.
| Variables | <3 Years of Operation (n = 1195) |
3–14 Years of Operation (n = 2356) |
≥15 Years of Operation (n = 2450) |
||||||
|---|---|---|---|---|---|---|---|---|---|
| AOR | (95%CI) | p | AOR | (95%CI) | p | AOR | (95%CI) | p | |
| A. Regional factor | |||||||||
| Percentage of older adults 65 years old or over | 0.963 | (0.935–0.991) | 0.010 | 0.999 | (0.976–1.023) | 0.957 | 1.006 | (0.978–1.034) | 0.672 |
| Inhabitable area (square km) | 1.000 | (1.000–1.000) | 0.448 | 1.000 | (1.000–1.000) | 0.001 | 1.000 | (1.000–1.000) | 0.002 |
| Number of VNAs per 100,000 population | 0.991 | (0.978–0.999) | 0.113 | 0.997 | (0.991–1.000) | 0.114 | 1.000 | (0.993–1.005) | 0.962 |
| Number of clinics per 100,000 population | 1.004 | (1.001–1.007) | 0.012 | 1.003 | (1.001–1.006) | 0.008 | 1.000 | (0.994–1.005) | 0.962 |
| B. Organizational factor | |||||||||
| For-profit organization (ref = non-profit) | 1.132 | (0.689–1.914) | 0.634 | 0.845 | (0.582–1.242) | 0.384 | 0.777 | (0.251–1.969) | 0.625 |
| Medical organization (ref = non-medical) | 0.612 | (0.330–1.137) | 0.118 | 1.050 | (0.691–1.598) | 0.821 | 0.869 | (0.610–1.240) | 0.437 |
| Years of operation as of FY2014 | 0.938 | (0.761–1.157) | 0.552 | 0.983 | (0.942–1.025) | 0.427 | 0.938 | (0.866–1.009) | 0.101 |
| Provision of care management services (ref = no) | 1.117 | (0.814–1.533) | 0.493 | 0.955 | (0.721–1.270) | 0.748 | 0.724 | (0.461–1.179) | 0.177 |
| Number of medical institutions issuing home-visit nursing orders | 0.986 | (0.945–1.029) | 0.005 | 0.992 | (0.980–1.004) | 0.223 | 0.994 | (0.976–1.012) | 0.534 |
| Number of FTE nurses | 1.003 | (0.970–1.035) | 0.110 | 0.952 | (0.927–0.976) | 0.006 | 0.848 | (0.755–0.942) | 0.004 |
| Percentage of nurses with less than three years of experience | 1.001 | (0.998–1.005) | 0.493 | 1.002 | (0.997–1.006) | 0.423 | 0.996 | (0.989–1.003) | 0.297 |
| Percentage of full-time nurses | 0.996 | (0.990–1.002) | 0.162 | 1.000 | (0.995–1.005) | 0.934 | 1.005 | (0.998–1.012) | 0.161 |
| Number of users per FTE nurses | 1.003 | (0.970–1.035) | 0.878 | 0.952 | (0.927–0.976) | <0.001 | 0.978 | (0.944–1.011) | 0.204 |
| Change in number of nurses in 2013 | |||||||||
| Decrease (ref = no change) | 0.808 | (0.361–1.656) | 0.613 | 0.806 | (0.540–1.178) | 0.536 | 1.308 | (0.845–1.985) | 0.132 |
| Increase (ref = no change) | 0.955 | (0.676–1.342) | 0.793 | 0.825 | (0.601–1.125) | 0.603 | 0.887 | (0.545–1.404) | 0.280 |
| Percentage of rehabilitation professionals among home-visit staff | 1.002 | (0.997–1.006) | 0.463 | 1.003 | (0.999–1.007) | 0.101 | 0.997 | (0.988–1.005) | 0.423 |
| Provision system of services | |||||||||
| Emergency home-visits (ref = no) | 0.801 | (0.493–1.303) | 0.370 | 1.061 | (0.669–1.706) | 0.804 | 1.869 | (1.023–3.571) | 0.049 |
| Home-based palliative care (ref = no) | 0.898 | (0.569–1.429) | 0.645 | 0.814 | (0.526–1.274) | 0.360 | 0.847 | (0.489–1.511) | 0.564 |
| Specialized medical care 1 (ref = no) | 1.213 | (0.661–2.251) | 0.535 | 1.033 | (0.552–1.949) | 0.920 | 1.053 | (0.437–2.630) | 0.911 |
| Specialized medical care 2 (ref = no) | 0.802 | (0.457–1.417) | 0.444 | 0.923 | (0.520–1.670) | 0.787 | 0.531 | (0.236–1.234) | 0.132 |
| Enhanced service delivery (ref = no) | 1.457 | (0.860–2.413) | 0.151 | 0.728 | (0.522–1.010) | 0.059 | 0.703 | (0.481–1.036) | 0.071 |
| Cooperative discharge guidance with hospitals (ref = no) | 0.760 | (0.531–1.091) | 0.134 | 0.824 | (0.599–1.142) | 0.241 | 0.925 | (0.608–1.431) | 0.720 |
| Number of types of medical care that can be provided | 0.986 | (0.945–1.029) | 0.521 | 0.940 | (0.894–0.988) | 0.015 | 0.937 | (0.873–1.006) | 0.071 |
| Percentage of users under the age of 40 years | 1.019 | (1.005–1.034) | 0.007 | 1.011 | (0.995–1.026) | 0.174 | 0.968 | (0.927–1.004) | 0.110 |
| Percentage of users with care need level of four or higher | 1.004 | (0.998–1.011) | 0.202 | 1.003 | (0.996–1.011) | 0.363 | 0.995 | (0.984–1.006) | 0.397 |
AOR: adjusted odds ratios 95%. CI: 95% confidence interval. p: p-value.