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Centre for Policy on Ageing | |
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Risk factors for physical restraint use in nursing homes
— the impact of the Nursing Home Reform Act | | Author(s) | Selcuk R Sirin, Nicholas G Castle, Michael Smyer |
| Journal title | Research on Aging, vol 24, no 5, September 2002 |
| Pages | pp 513-527 |
| Keywords | At risk ; Mobility ; Restriction ; Nursing homes ; Law ; Longitudinal surveys ; United States of America. |
| Annotation | The Nursing Home Reform Act 1987 (NHRA) has influenced several areas of nursing home care in the US, amongst which were strict controls governing the use of physical restraints. Data for 1990 and 1993 cohorts obtained from 268 nursing homes in 10 US states, and data on a 1996 cohort obtained from the US Medical Expenditure Panel Survey (a sample of more than 800 nursing homes nationwide) were used in this study. Multiple logistic regression analyses were generated for each cohort, to identify the impact of resident- and facility-level risk factors for restraint use. Indications are that use of physical restraints continues to decline. 36% of the 1990 cohort, 26% of the 1993 cohort, and 17% of the 1996 cohort were physically restrained. Although there was a reduced rate of restraint from 1990 to 1996, similar resident-level factors but different facility-level factors were associated with restraint use at different points in time. (RH). |
| Accession Number | CPA-020924237 A |
| Classmark | CA3: C4: 5RC: LHB: VR: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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