title: A longitudinal evaluation of residents' health outcomes in nursing homes and residential care homes in Taiwan.
abstract: OBJECTIVE
  The role of nursing homes (NHs) and residential care homes (RHs) frequently overlaps in Taiwan, raising concerns about their level of care. This study aimed to investigate residents' health outcomes in NHs and RHs 1 year after admission.
  
  
  METHODS
  This longitudinal study included four stages of face-to-face interviews with recruited residents. Five main outcome measures, residents' functional status, broad health status (SF-36), resident's/family's satisfaction toward institutions (RSQ), mortality, and relocation rates, were assessed by generalized estimating equations.
  
  
  RESULTS
  The mean scores of ADL and RSQ of newly admitted NH residents were significantly lower, and mini-mental state examination (MMSE) scores higher than those of RH residents (P < 0.05). However, MMSE and RSQ showed no statistical difference between these two institutions over time. Moreover, scores for Physical Role, Emotional Role, and Mental Component Scales of SF-36 were significantly improved in NH residents than those of RH residents over time. The survival rate of RH residents was also statistically lower than that of NH residents (chi(2) = 6.2, P < 0.05) 1 year after admission.
  
  
  CONCLUSIONS
  NH and RH residents in Taiwan experience significantly different trajectory outcomes in 1 year follow-up, suggesting that the placement for older people with long-term care needs should be constantly monitored.
authors.affiliation: Institute of Gerontology, College of Medicine, National Cheng Kung University, No. 1 University Road, Tainan, 70428, Taiwan. lilian@mail.ncku.edu.tw
authors.forename: Li-Fan
authors.initials: LF
authors.lastname: Liu
authors.forename: Miin-Jye
authors.initials: MJ
authors.lastname: Wen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006304:Health Status; D006707:Homes for the Aged; D006801:Humans; D007407:Interviews as Topic; D008134:Long-Term Care; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D013624:Taiwan
references.citation: Eval Health Prof. 1998 Sep;21(3):291-315
references.pmid: 10350953
references.citation: Gerontologist. 2003 Apr;43 Spec No 2:107-17
references.pmid: 12711731
references.citation: Arch Phys Med Rehabil. 2006 Sep;87(9):1177-82; quiz 1287
references.pmid: 16935051
references.citation: Gerontologist. 2005 Oct;45 Spec No 1(1):124-32
references.pmid: 16230759
references.citation: J Nurs Res. 2005 Mar;13(1):66-74
references.pmid: 15977137
references.citation: J Epidemiol Community Health. 1999 Jul;53(7):412-6
references.pmid: 10492734
references.citation: Gerontologist. 2001 Oct;41(5):623-31
references.pmid: 11574707
references.citation: Int J Qual Health Care. 2004 Aug;16(4):293-301
references.pmid: 15252003
references.citation: Int Psychogeriatr. 1998 Jun;10(2):213-24
references.pmid: 9677508
references.citation: Int J Qual Health Care. 2002 Feb;14(1):49-54
references.pmid: 11871629
references.citation: Gerontologist. 2003 Aug;43(4):473-82
references.pmid: 12937326
references.citation: J Am Geriatr Soc. 2002 Dec;50(12):1987-95
references.pmid: 12473010
references.citation: Gerontologist. 2002 Apr;42(2):188-98
references.pmid: 11914462
references.citation: J Nurs Care Qual. 2004 Jan-Mar;19(1):48-57
references.pmid: 14717148
references.citation: Caring. 2001 Aug;20(8):24-6
references.pmid: 11499212
references.citation: Gerontologist. 2003 Apr;43(2):175-91
references.pmid: 12677075
references.citation: J Am Geriatr Soc. 1990 Feb;38(2):108-12
references.pmid: 2299114
references.citation: Gerontologist. 2000 Aug;40(4):422-8
references.pmid: 10961031
references.citation: Health Serv Res. 2001 Apr;36(1 Pt 1):91-111
references.pmid: 11324746