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KMID : 1138720150410030101
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Korean Public Health Research
2015 Volume.41 No. 3 p.101 ~ p.110
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Relationship between Hospital Structure Characteristics and Decline in Activity of Daily Living among Elderly Inpatients in Long-term Care Hospitals
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Chae Jung-Mi
Song Hyun-Jong
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Abstract
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Objective: This study was conducted to explore the relationship between structure and outcome in long term care hospital.
Methods: Hospital size, staffing level, and facility as structural characteristics put in the analytic model. Decline of ADL(activity of daily living) among elderly inpatients in long term care hospitals was used as a outcome variable. A secondary data were obtained from the Health Insurance Review and Assessment Services including hospital claims data from June to September and quality evaluation of long term care hospitals in 2009. 103,011 elderly inpatients episodes from 667 long term care hospitals were analyzed using GEE(generalized estimating equations).
Results: Among organizational characteristics, number of beds, number of beds per doctor, rate of RN among nursing staff, nurse``s turnover rate, and grab bar installation rate were significantly associated with effects on the ADL decline of elderly inpatients adjusted for patients characteristics.
Conclusion: To maintain and improve patient health outcomes of ADL, policy interventions for improving retention rate of nurse and safety facility should be designed. Furthermore, ADL decline prevention program should be developed based on measure the clinical problem of patients at the time of admission.
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KEYWORD
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Aged, Inpatients, ADL
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