Risk factors for nursing home placement in a population-based dementia cohort

Article Abstract:

Risk factors for nursing home placement are discussed relative to a study of a population-based 314-person dementia cohort and it was found that cumulative incidence of placement was 90% in the dementia group and 50% in controls. Factors which appear to have an effect on time to placement in all older people include living in assisted living arrangements, age, increasing need for functional assistance and increasing comorbidity scores. The medical records linkage system at the Mayo Clinic was used to identify patients with dementia onset.

Risk factors, Nursing home care, Senile dementia

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Financial incentives for placing feeding tubes in nursing home residents with advanced dementia

Article Abstract:

Financial incentives for putting feeding tubes into nursing home residents with advanced dementia are discussed from the perspective of the two major payors, Medicare and Medicaid. Evidence that benefits from this practice are lacking is growing.

Science & research, Management dynamics, Nursing & Rest Homes, Nursing and Residential Care Facilities, Medicaid, Administration of Public Health Programs, Nursing and Personal Care Facilities, Residential care, Homes for Aged, Homes for the Elderly, Research, Management, Economic aspects, Practice, Terminal care, Nursing homes, Company business management, Geriatrics, Nursing home management, Enteral feeding, Enteral nutrition, Medicare, Tube feeding

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Use of physician and acute care services by persons with and without Alzheimer's disease: a population-based comparison

Article Abstract:

Onset of Alzheimer's disease (AD) is not associated with greater use of acute care services , nor is high use of nursing home care in this group offset by fewer ER or hospital use incidents, according to a population-based comparison has been carried out by means of an historical cohort study to investigate use of physician and acute care services by persons with and without AD. All residents of Rochester, MN, with AD onset between 1/1/80 and 12/31/84, numbering 301, and nondemented controls matched by age and sex were subjects. Subjects, both the AD patient and the control for that patient, were followed in medical records in the year before 1/1 of the year of onset of AD and in the 4 years following 12/31 of the year of onset.

Statistical Data Included, Hospitals, Demographic aspects, Alzheimer's disease, Physician services utilization

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