title: From hospital to nursing facility: factors influencing decisions.
abstract: This study addresses the factors influencing decisions to send medicine-surgical (med-surg) patients home or to nursing facilities (NFs). The sample (n = 7,852) was taken from a large, urban, teaching, med-surg unit where discharges were documented and data collected over a two-and-a-half-year period. Using logistical regression, the factors found to most influence the decision were age (z = 26.99, p = .000; odds = 1.06); patients diagnosed with "musculoskeletal system" problems (z = 11.07, p = .000; odds = 5.36); and needing skilled professional care (z = -15.03, p = .000; odds = .21) or nonprofessional personal care (z = 6.62,p = .000; odds = 2.32). Having less effect, but important information for discharge planners, was being an African American (z = 3.82, p = .000; odds = .76) or Latino (z = -3.96, p = .000; odds = .54). A review of the literature found limited knowledge of the factors that influence hospital patients, family members, and professionals, including social workers, to make the decision to recommend home care or NF care.
authors.affiliation: Wurzweiler School of Social Work, Yeshiva University, New York, NY 10033, USA. masonse@yu.edu
authors.forename: Susan E
authors.initials: SE
authors.lastname: Mason
authors.forename: Charles
authors.initials: C
authors.lastname: Auerbach
authors.forename: Heidi Heft
authors.initials: HH
authors.lastname: LaPorte
mesh_terms: D000367:Age Factors; D000368:Aged; D003266:Continuity of Patient Care; D003657:Decision Making; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D012866:Skilled Nursing Facilities; D012947:Social Work / Q000379:methods*