Nursing home (NH) residents are generally frail and have multiple chronic illnesses,
making them use hospital services frequently. Hospitalizations are often necessary,
but a portion of them could potentially be prevented.
1
Hospitalization of NH residents, although mostly essential for safe and effective
care of acute conditions, can result in iatrogenic complications, morbidity, and excess
health care expenditure.
2
Hence, if clinical outcomes were not different between the NH and acute hospital
care for the same condition,
3
substantial savings may accrue if the residents were kept “in place.”
4
With increasing life expectancies and low fertility rates, the resident population
of Singapore continues to age rapidly,
5
imposing a huge burden on the health care services and funding of the country.To read this article in full you will need to make a payment
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References
- Reducing potentially avoidable hospitalizations of nursing home residents: Results of a pilot quality improvement project.J Am Med Dir Assoc. 2009; 10: 644-652
- Interventions to reduce hospitalizations from nursing homes: Evaluation of the INTERACT II Collaborative Quality Improvement Project.J Am Geriatr Soc. 2011; 59: 745-753
- Outcomes of infection in nursing home residents with and without early hospital transfer.J Am Geriatr Soc. 2005; 53: 590-596
- Medicare expenditures for nursing home residents triaged to nursing home or hospital for acute infection.J Am Geriatr Soc. 2008; 56: 1206-1212
- Population in Brief 2014 – National Population and Talent Division.(Available at:) (Accessed September 4, 2014)
Article info
Publication history
Published online: December 26, 2017
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© 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
