Hospital Provision of Institutional Long-Term Care
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TL;DR
The pattern of long-term care provision was significantly associated with hospitals' mission and their internal and external resources and the importance of considering hospital and community characteristics in predicting the impact of policy changes and in envisioning the role of hospitals in long- term care is suggested.
Abstract
PURPOSE: This study examined the pattern and correlates of institutional long-term care provision among U.S. community hospitals, differentiating two categories of services: (1) skilled nursing and rehabilitation (SN-R) and (2) other long-term care (O-LTC). DESIGN AND METHODS: Multinomial logistic regression analysis was used to examine the associations of hospital and community characteristics with the pattern of long-term care provision (SN-R only, O-LTC only, both SN-R and O-LTC, and None) among 3,842 hospitals. RESULTS: The pattern of long-term care provision was significantly associated with hospitals' mission (for-profit and teaching status) and their internal and external resources. IMPLICATIONS: Results suggest the importance of considering hospital and community characteristics in predicting the impact of policy changes and in envisioning the role of hospitals in long-term care.
