Objective
To examine the associations between 2 types of continuing care retirement communities'
(CCRC) residents regarding physical function and perceived quality of life.
Methods
Cross-sectional study (n=406). Eligibility criteria include age 65 years or older, residents of independent
living units, and intact cognition (MMSE≥24). All-inclusive CCRCs provide unlimited access to home health services and nursing
home care as needed in return for the entry and monthly fee. Fee-for-service CCRCs
offer home health and nursing home services at a full fee-for-service rate. Outcomes
were functional status (ADLs and IADLs) and perceived quality of life. Multivariate
regressions were used to examine the associations between residents of different types
of CCRCs on selected outcomes while adjusting for covariates.
Results
The all-inclusive CCRC sample was more likely to be married (53.8% versus 33.4%; P < .001), with more years of education (17.9 versus 14.4; P < .0001), and had few physician visits in the previous year in comparison to the
FFS CCRC sample. Multivariate results indicate that the FFS group had worse ADL (β=0.95; P=.0003), IADL (β=0.57; P=.02) function than the all-inclusive group. There was no significant difference in
perceived quality of life scores between the 2 groups.
Conclusions
Residents of both CCRCs reported equally good quality of life scores. Residents of
the all-inclusive CCRC seem to have had better ADL and IADL function than the FFS
CCRC residents. Prepaid home health services and nursing home care in the all-inclusive
CCRC may facilitate ADL and IADL functional independence.
Keywords
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Article info
Publication history
Published online: March 15, 2010
Footnotes
This study was supported by a research grant from the SUNY at Albany Faculty Research Awards Program (FRAP-A) and Erickson Foundation.
Identification
Copyright
© 2010 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
