@article{
 title = {Is Aging in Place Delaying Nursing Home Admission?},
 type = {article},
 year = {2015},
 identifiers = {[object Object]},
 keywords = {ADLs,Aging in place,home and community-based services,nursing home},
 pages = {900.e1-900.e6},
 volume = {16},
 websites = {http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=26433865&site=ehost-live&scope=site},
 month = {1},
 publisher = {Elsevier},
 city = {Department of Health Policy, Management, and Behavior, School of Public Health, State University of New York at Albany, Albany, NY. Electronic address: yyoung@albany.edu.; Department of Epidemiology and Biostatistics, School of Public Health, State Univer},
 id = {b40224b9-ef17-3af6-9889-8b22aa061dbc},
 created = {2016-08-20T16:55:36.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {ID: 26433865; Accession Number: 26433865. Language: English. Date Created: 20151005. Update Code: 20151005. Publication Type: Journal Article. Journal ID: 100893243. Publication Model: Print. Cited Medium: Internet. NLM ISO Abbr: J Am Med Dir Assoc. Linking ISSN: 15258610. Subset: In-Data-Review; IM; Date of Electronic Publication: 20151001. Current Imprints: Publication: 2005- : New York?] : Elsevier; Original Imprints: Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2000-},
 folder_uuids = {3f8d7ce1-e3f4-4c64-add9-a1fb30f8c887},
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 abstract = {Objectives: This study examines whether aging in place (community-based living before admission to a nursing home) delays nursing home admission among New York State home health care recipients.; Design: Retrospective cohort study (January 2007-December 2012).; Setting: New York State.; Participants: Adults age 65+ who received home health services for at least 2 months before permanent nursing home admission.; Measurement and Analysis: Permanent transition is defined as home care patients who are discharged to and stay at a nursing home for more than 3 months. Data were abstracted from the Minimum Data Set (MDS) and Outcome and Assessment Information Set (OASIS). Descriptive and bivariate Kruskal-Wallis and χ(2) tests were performed.; Results: The average age of nursing home residents at admission remained steady at 83 years between 2007 and 2012. The proportion of minority populations (Asian, black, Hispanic/Latino) increased, whereas the white population declined (P < .0001). The average length of stay at home increased 8 months, from 17 months in 2007 to 25 months in 2012 (P < .0001). Chronic conditions with significant increases in prevalence during the study period were hypertension (P < .0009), dementia (P < .0001), heart failure (P = .05), urinary incontinence (P < .0001), and bowel incontinence (P < .0001). Increases in functional disabilities requiring extensive human assistance included toileting, dressing, personal hygiene, and transferring (all P < .001).; Conclusion: Home health services enabled recipients to remain at home 8 months longer, thus delaying nursing home entry. Given the increase in prevalence of comorbidities and disability, we anticipate a concomitant increase in support services at the nursing home. These results may inform policy and staffing decisions regarding adjustments in required caregivers' credentials and nurse-patient ratios.; Copyright © 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.},
 bibtype = {article},
 author = {Young, Yuchi and Kalamaras, John and Kelly, Lindsay and Hornick, David and Yucel, Recai},
 journal = {Journal Of The American Medical Directors Association},
 number = {10}
}

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Descriptive and bivariate Kruskal-Wallis and χ(2) tests were performed.; Results: The average age of nursing home residents at admission remained steady at 83 years between 2007 and 2012. The proportion of minority populations (Asian, black, Hispanic/Latino) increased, whereas the white population declined (P < .0001). The average length of stay at home increased 8 months, from 17 months in 2007 to 25 months in 2012 (P < .0001). Chronic conditions with significant increases in prevalence during the study period were hypertension (P < .0009), dementia (P < .0001), heart failure (P = .05), urinary incontinence (P < .0001), and bowel incontinence (P < .0001). Increases in functional disabilities requiring extensive human assistance included toileting, dressing, personal hygiene, and transferring (all P < .001).; Conclusion: Home health services enabled recipients to remain at home 8 months longer, thus delaying nursing home entry. Given the increase in prevalence of comorbidities and disability, we anticipate a concomitant increase in support services at the nursing home. These results may inform policy and staffing decisions regarding adjustments in required caregivers' credentials and nurse-patient ratios.; Copyright © 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. 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