Centre for Policy on Ageing



Positions of influence in the nursing home admission decision
Author(s)	William J McAuley, Shirley S Travis
Journal title	Research on Aging, vol 19, no 1, March 1997
Pages	pp 26-45
Keywords	Admission [nursing homes] ; Social pressures ; Claims [services] ; United States of America.
Annotation	Decisions leading to nursing home admissions have substantial personal and policy consequences, but little research has focused on who is influential in the decision process. Using data from interviews with a sample of those responsible for placing new residents in nursing homes in Virginia, the authors determined which of various social positions were viewed as being very influential in the decision to admit, and factors associated with perceived level of influence of certain social positions. Family influence on institutional decision-making appears to follow a hierarchical pattern similar to that for pre-admission family caregiving. Nursing home residents were seldom very influential parties to the decision. Health care professionals, especially general practitioners (GPs), were frequently described by sponsors as very influential to the decision process. There is some evidence of a cluster of influence among health professionals and clergy, with the GP occupying a central position.
Accession Number	CPA-971113207 A
Classmark	LHB:QKH: TM7: QLT: 7T
Data © Centre for Policy on Ageing

...from the Ageinfo database published by Centre for Policy on Ageing.