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Transitions across various continuing care settings

D H Frijters1, V Mor, J N DuPaquier

  • 1Department of General Practice, Nursing Home Medicine and Social Medicine, Free University, Amsterdam, The Netherlands. Dinnus.Frijters@sig.nl

Age and Ageing
|February 17, 1998
PubMed
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Nursing home admissions and discharges vary significantly across nations. Policies and care systems influence these differences, highlighting the need for cross-national comparative studies.

Area of Science:

  • Gerontology
  • Health Services Research
  • International Health

Background:

  • Nursing home utilization patterns differ globally.
  • Understanding cross-national variations in care transitions is crucial for policy development.

Purpose of the Study:

  • To conduct a cross-national comparison of nursing home admission sources and discharge rates.
  • To identify international variations in resident flow within and out of nursing homes.

Main Methods:

  • Utilized Minimum Data Set (MDS) data from a multi-nation database.
  • Analyzed longitudinal episode data from the Netherlands, Switzerland, and the USA.

Main Results:

  • Significant international disparities observed in nursing home admission sources (e.g., from home, hospital, or other long-term care).

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  • Discharge patterns varied, with higher return-to-home rates in the Netherlands and more frequent hospital readmissions from US nursing homes.
  • Admission sources included long-term care settings (Japan, 47.5%), hospitals (Italy 36%, USA 42%), and home (Denmark/Iceland >60%).

    • Conclusions:

    • Substantial cross-national differences exist in nursing home admission and discharge dynamics.
    • National policies, payment structures, care models, and referral practices significantly shape these variations.
    • Availability of cross-national data enables further study into these influential factors.