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Centre for Policy on Ageing | |
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| Changes in hospitalization associated with introducing the Resident Assessment Instrument | | Author(s) | Vincent Mor, Orna Intrator, Brant E Fries |
| Journal title | Journal of the American Geriatrics Society, vol 45, no 8, August 1997 |
| Pages | pp 1002-1010 |
| Keywords | Admission [hospitals] ; Residents [care homes] ; Nursing homes ; Evaluation ; Longitudinal surveys ; United States of America. |
| Annotation | Two resident cohorts (1990 and 1993, both more than 75% female) were sampled as part of an evaluation of the impact of implementing the US Resident Assessment Instrument (RAI). A 28% reduction was observed in the 6-month rate of hospitalisation between the 1990 and 1993 samples, with no increase either in mortality or in the likelihood of home discharge. Among the most cognitively impaired residents, hospital use rate dropped from 20.1% to 13.5%; this effect was independent of having a DNR (Do Not Resuscitate) on hospital use. Among survivors in both cohorts who had a follow-up MDS (Minimum Data Set) performed, and whose activities of daily living (ADL) remained stable, 15.9 were hospitalised in 1990, and only 10.3% in 1993. On the other hand ADL decliners were more likely to have been admitted to hospital in 1990 than 1993 (40.6% vs 25.2%). Although other changes in clinical practice and health care policy may have influenced hospitalisation of nursing home residents, the reductions observed among the cognitively impaired and those with stable ADL suggest that RAI's uniform assessment information has contributed significantly to this decline. (RH). |
| Accession Number | CPA-981026008 A |
| Classmark | LD:QKH: KX: LHB: 4C: 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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