Saturday, March 13, 2010

Nurse Caring for Babies at the Pyongyang Maternity Hospital

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Data detailed in 'Setting of care modifies risk of nursing home placement for older adults with dementia' have been presented. "The purpose of this study was to examine risk of nursing home (NH) placement among older adults receiving publicly funded home and community-based services (HCBS) or assisted living (AL) and to explore whether these settings of care modify the relationship between dementia and risk of NH placement. The sample consisted of dually eligible Medicare and Medicaid beneficiaries age 65 and older who received HCBS (n=1630) or resided in AL (n=836) in Florida between July 1999 and June 2000," investigators in the United States report (see also Dementia Risk Factors).

"Cox proportional hazards regression was used to estimate risk of NH placement over a 5-year study period and to test the interaction of setting of care by dementia status. In all, 15% of HCBS participants were placed in a NH compared to 26% of AL participants. As indicated by a significant interaction term in the regression model, setting of care modified the relationship between dementia and NH placement (HR=0.45, CI=0.31-0.66). In post hoc analyses stratified by setting of care, dementia was associated with a 50% increased risk of NH placement from HCBS (HR=1.50, CI=1.12-2.02) but was not associated with placement from AL (HR=0.86, CI=0.63-1.16)," wrote A. Temple and colleagues, James Madison University, Department of Health Sciences.

The researchers concluded: "The findings suggest that differences in care provided in HCBS and AL may influence subsequent NH placement for older adults with dementia."

Temple and colleagues published their study in International Journal of Geriatric Psychiatry (Setting of care modifies risk of nursing home placement for older adults with dementia. International Journal of Geriatric Psychiatry, 2010;25(3):275-81).

For additional information, contact A. Temple, Health Services Administration Program, Dept. of Health Sciences, James Madison University, 800 South Main Street, Harrisonburg VA USA.

Keywords: State:Harrisonburg, Country:United States, Dementia Risk Factors, Central Nervous System Disease, Dementia, Geriatric Psychiatry, Health Policy, Medicaid, Medicare.

This article was prepared by Managed Care Weekly Digest editors from staff and other reports. Copyright 2010, Managed Care Weekly Digest via

Source Citation
"Research conducted at James Madison University, Department of Health Sciences has updated our knowledge about dementia risk factors." Managed Care Weekly Digest 15 Mar. 2010: 32. Academic OneFile. Web. 13 Mar. 2010.
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