A longitudinal evaluation of residents' health outcomes in nursing homes and residential care homes in Taiwan.
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.
Liu
Li-Fan
LF
Institute of Gerontology, College of Medicine, National Cheng Kung University, No. 1 University Road, Tainan, 70428, Taiwan. lilian@mail.ncku.edu.tw
Wen
Miin-Jye
MJ
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
Eval Health Prof. 1998 Sep;21(3):291-315
10350953
Gerontologist. 2003 Apr;43 Spec No 2:107-17
12711731
Arch Phys Med Rehabil. 2006 Sep;87(9):1177-82; quiz 1287
16935051
Gerontologist. 2005 Oct;45 Spec No 1(1):124-32
16230759
J Nurs Res. 2005 Mar;13(1):66-74
15977137
J Epidemiol Community Health. 1999 Jul;53(7):412-6
10492734
Gerontologist. 2001 Oct;41(5):623-31
11574707
Int J Qual Health Care. 2004 Aug;16(4):293-301
15252003
Int Psychogeriatr. 1998 Jun;10(2):213-24
9677508
Int J Qual Health Care. 2002 Feb;14(1):49-54
11871629
Gerontologist. 2003 Aug;43(4):473-82
12937326
J Am Geriatr Soc. 2002 Dec;50(12):1987-95
12473010
Gerontologist. 2002 Apr;42(2):188-98
11914462
J Nurs Care Qual. 2004 Jan-Mar;19(1):48-57
14717148
Caring. 2001 Aug;20(8):24-6
11499212
Gerontologist. 2003 Apr;43(2):175-91
12677075
J Am Geriatr Soc. 1990 Feb;38(2):108-12
2299114
Gerontologist. 2000 Aug;40(4):422-8
10961031
Health Serv Res. 2001 Apr;36(1 Pt 1):91-111
11324746