TY - JOUR
T1 - A longitudinal evaluation of resident's health outcomes in nursing homes and residential care homes in Taiwan
AU - Liu, Li Fan
AU - Wen, Miin Jye
N1 - Funding Information:
Acknowledgments This study received financial support from the National Science Council, Taiwan (Project number: NSC 96-2416-H-006-041 and NSC 97-2410-H-006-021). We thank the proprietors, residents, and residents’ family members in the long-term care institutions to participate this study. MedCom Asia is acknowledged for providing editorial assistance in manuscript preparation. Competing interests: The authors have no competing interest to declare regarding this research. Authors’ contributions: LFL is the principal investigator of this research who conducted the investigation, interpreted the results, and wrote up the manuscript. MJW is the biostatistician for this research who completed all analysis.
PY - 2010/9
Y1 - 2010/9
N2 - Purpose The role of nursing homes (NHs) and residential care homes (RHs) frequently overlaps in Taiwan, raising concerns about their level of care. This study aimed to investigate residents' health outcomes in NHs and RHs 1 year after admission. Methods This longitudinal study included four stages of face-to-face interviews with recruited residents. Five main outcome measures, residents' functional status, broad health status (SF-36), resident's/family's satisfaction toward institutions (RSQ), mortality, and relocation rates, were assessed by generalized estimating equations. Results The mean scores of ADL and RSQ of newly admitted NH residents were significantly lower, and mini-mental state examination (MMSE) scores higher than those of RH residents (P < 0.05). However, MMSE and RSQ showed no statistical difference between these two institutions over time. Moreover, scores for Physical Role, Emotional Role, and Mental Component Scales of SF-36 were significantly improved in NH residents than those of RH residents over time. The survival rate of RH residents was also statistically lower than that of NH residents (Χ2 = 6.2, P < 0.05) 1 year after admission. Conclusions NH and RH residents in Taiwan experience significantly different trajectory outcomes in 1 year follow-up, suggesting that the placement for older people with long-term care needs should be constantly monitored.
AB - Purpose The role of nursing homes (NHs) and residential care homes (RHs) frequently overlaps in Taiwan, raising concerns about their level of care. This study aimed to investigate residents' health outcomes in NHs and RHs 1 year after admission. Methods This longitudinal study included four stages of face-to-face interviews with recruited residents. Five main outcome measures, residents' functional status, broad health status (SF-36), resident's/family's satisfaction toward institutions (RSQ), mortality, and relocation rates, were assessed by generalized estimating equations. Results The mean scores of ADL and RSQ of newly admitted NH residents were significantly lower, and mini-mental state examination (MMSE) scores higher than those of RH residents (P < 0.05). However, MMSE and RSQ showed no statistical difference between these two institutions over time. Moreover, scores for Physical Role, Emotional Role, and Mental Component Scales of SF-36 were significantly improved in NH residents than those of RH residents over time. The survival rate of RH residents was also statistically lower than that of NH residents (Χ2 = 6.2, P < 0.05) 1 year after admission. Conclusions NH and RH residents in Taiwan experience significantly different trajectory outcomes in 1 year follow-up, suggesting that the placement for older people with long-term care needs should be constantly monitored.
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U2 - 10.1007/s11136-010-9667-8
DO - 10.1007/s11136-010-9667-8
M3 - Article
C2 - 20449664
AN - SCOPUS:79951720719
SN - 0962-9343
VL - 19
SP - 1007
EP - 1018
JO - Quality of Life Research
JF - Quality of Life Research
IS - 7
ER -