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Factors Affecting of Long Term Care Hospital Patient's Intention of Transfer to a Nursing Home
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Ji Yun Lee, Eun Gyung Park
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J Korean Acad Community Health Nurs. 2008;19(2):196-204. Published online June 30, 2008
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 Abstract
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- PURPOSE
To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home.
METHOD
A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2.
RESULT
Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home.
CONCLUSION
For appropriate service utilization, a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.
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