دورية أكاديمية
Factors associated with transition to a nursing home in older adults living in naturally occurring retirement communities.
العنوان: | Factors associated with transition to a nursing home in older adults living in naturally occurring retirement communities. |
---|---|
المؤلفون: | Sheth MS; Women's Age Lab, Women's College Hospital, Toronto, Ontario, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Rochon PA; Women's Age Lab, Women's College Hospital, Toronto, Ontario, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.; Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada., Altaf A; ICES, Toronto, Ontario, Canada., Boblitz A; ICES, Toronto, Ontario, Canada., Bronskill SE; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.; Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada., Brown KA; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Public Health Ontario, Toronto, Ontario, Canada., Hahn-Goldberg S; NORC Innovation Centre, University Health Network, Toronto, Ontario, Canada.; Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada., Huynh T; NORC Innovation Centre, University Health Network, Toronto, Ontario, Canada., Lewis-Fung SE; NORC Innovation Centre, University Health Network, Toronto, Ontario, Canada., Feng P; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada., Savage RD; Women's Age Lab, Women's College Hospital, Toronto, Ontario, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada. |
المصدر: | Journal of the American Geriatrics Society [J Am Geriatr Soc] 2024 Jun 18. Date of Electronic Publication: 2024 Jun 18. |
Publication Model: | Ahead of Print |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5415 (Electronic) Linking ISSN: 00028614 NLM ISO Abbreviation: J Am Geriatr Soc Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Malden, MA : Blackwell Science Original Publication: New York [etc.] |
مستخلص: | Background: Naturally occurring retirement communities (NORCs) are geographic areas (generally high-rise buildings or neighborhoods) that have a high concentration of individuals 65 years and older. Supportive service programs in NORCs can address resident needs and delay nursing home (NH) admission but understanding what factors are associated with NORC residents requiring NH admission is needed to tailor such programs. Our aim was to examine individual- and neighborhood-level factors associated with NH wait-list status in NORC residents in Ontario. Methods: We conducted a population-based, cross-sectional study of Ontario adults 65 years of age or older living in a NORC building as of January 1, 2020, by linking a provincial registry of NORC high-rise buildings with health administrative data. Older adults were classified as being on the NH wait-list if they had an open application for a NH on the index date. We conducted a multilevel logistic regression analysis using generalized estimating equations to determine individual- and neighborhood-level factors associated with NH wait-list status, including sociodemographic, clinical, healthcare use, and building factors. We explored the role of sex and age through stratification by sex (male, female) and age (65-80 and 80+ years). Results: Among 220,864 NORC residents, 4710 individuals (2.1%) were on the NH wait-list. Female sex, older age, immigrant status, dementia diagnosis, receiving homecare, multimorbidity, and polypharmacy (five or more unique drug names) were associated with an increased odds of wait-list status. Several neighborhood-level variables were associated with a significantly increased likelihood of wait-list status, including low income, high dependency, high ethnic diversity, and living in a building with supports. Conclusion: NORC supportive service programs can be tailored to account for the factors associated with NH wait-list status, allowing NORC residents who are living in the community to age in their desired place and achieve optimal health outcomes. (© 2024 The Author(s). Journal of the American Geriatrics Society published by Wiley Periodicals LLC on behalf of The American Geriatrics Society.) |
References: | Recknagel J, Madho C, Hahn‐Goldberg S, Frew M, Abrams H. Vertical Aging: The Future of Aging in Place in Urban Canada. Published 2020. Vol 2. The Connected Care Hub. Accessed January 26, 2023. https://verticalaging.uhnopenlab.ca/wp-content/uploads/2020/09/CCH_20-09-16.pdf. Health Quality Ontario. Quality monitor. 2012. Accessed January 30, 2023. http://www.hqontario.ca/portals/0/documents/pr/qmonitor-full-report-2012-en.pdf. Health Quality Ontario. Wait times for long‐term care homes. Health Quality Ontario. 2023Accessed January 31, 2023. https://www.hqontario.ca/system‐performance/Long‐Term‐Care‐Home‐Performance/Wait‐Times. National Institute on Ageing. Pandemic perspectives on long‐term care: insights from Canadians in light of COVID‐19. 2021. Accessed January 31, 2023. https://www.cma.ca/sites/default/files/pdf/Activities/National-Institute-on-Ageing-CMA-Report-EN.pdf. Canadian Institute for Health Information. 1 in 9 new long‐term care residents potentially could have been cared for at home. 2020. Accessed January 30, 2023. https://www.cihi.ca/en/1-in-9-new-long-term-care-residents-potentially-could-have-been-cared-for-at-home. Puxty J, Rosenberg MW, Carver L, Crow B. Report on housing needs of seniors. 2019. Accessed January 26, 2023. https://www.canada.ca/content/dam/canada/employment‐social‐development/corporate/seniors/forum/report‐seniors‐housing‐needs/report‐seniors‐housing‐needs‐EN.pdf. Parniak S, DePaul VG, Frymire C, De Paul S, Donnelly C. Naturally occurring retirement communities: scoping review. JMIR Aging. 2022;5(2):e34577. doi:10.2196/34577. Bedney BJ, Goldberg RB, Josephson K. Aging in place in naturally occurring retirement communities: transforming aging through supportive service programs. J Housing Elderly. 2010;24(3–4):304‐321. doi:10.1080/02763893.2010.522455. Elbert KB, Neufeld PS. Indicators of a successful naturally occurring retirement community: a case study. J Housing Elderly. 2010;24(3–4):322‐334. doi:10.1080/02763893.2010.522440. Rivera‐Hernandez M, Yamashita T, Kinney JM. Identifying naturally occurring retirement communities: a spatial analysis. J Gerontol B Psychol Sci Soc Sci. 2015;70(4):619‐627. doi:10.1093/geronb/gbu077. Hou SI, Cao X. Promising aging in community models in the U.S.: village, naturally occurring retirement community (NORC), cohousing, and university‐based retirement community (UBRC). Gerontol Geriatr Med. 2021;7:23337214211015451. doi:10.1177/23337214211015451. National Institute on Ageing and NORC Innovation Centre. It's time to unleash the power of naturally occurring retirement communities in Canada. Accessed January 31, 2023. https://www.niageing.ca/s/NORC-Report-FINAL.pdf. Toot S, Swinson T, Devine M, Challis D, Orrell M. Causes of nursing home placement for older people with dementia: a systematic review and meta‐analysis. Int Psychogeriatr. 2017;29(2):195‐208. doi:10.1017/S1041610216001654. Maxwell CJ, Soo A, Hogan DB, et al. Predictors of nursing home placement from assisted living settings in Canada. Can J Aging. 2013;32(4):333‐348. doi:10.1017/S0714980813000469. Laporte A, Rohit Dass A, Kuluski K, et al. Factors associated with residential long‐term care wait‐list placement in north west Ontario. Can J Aging. 2017;36(3):286‐305. doi:10.1017/S071498081700023X. Masotti PJ, Fick R, Johnson‐Masotti A, MacLeod S. Healthy naturally occurring retirement communities: a low‐cost approach to facilitating healthy aging. Am J Public Health. 2006;96(7):1164‐1170. doi:10.2105/AJPH.2005.068262. Statistics Canada. Table: 17‐10‐0009‐01 Population Estimates, Quarterly. Published 2023. Statistics Canada. Accessed December 7, 2023. Hahn‐Goldberg S, Sava N, Huynh T. Naturally occurring retirement communities in Ontario: location and age characteristics. UHN OpenLab. Accessed January 26, 2023. http://uhnopenlab.ca/project/norc-vaccination/. Rochon PA, Kalia S, Higgs P. Gendered ageism: addressing discrimination based on age and sex. Lancet. 2021;398(10301):648‐649. doi:10.1016/S0140‐6736(21)01636‐6. Bronskill SE, Camacho X, Gruneir A, Ho MM. Health System Use by Frail Ontario Seniors: An In‐Depth Examination of Four Vulnerable Cohorts. ICES. 2011. Garner R, Tanuseputro P, Manuel DG, Sanmartin C. Transitions to Long‐Term and Residential Care among Older Canadians. Statistics Canada; Vol 29; 2018. Accessed March 29, 2023. https://www150.statcan.gc.ca/n1/pub/82-003-x/2018005/article/54966-eng.pdf. Connolly S, O'Reilly D. Variation in care home admission across areas of Northern Ireland. Age Ageing. 2009;38(4):461‐465. doi:10.1093/ageing/afp070. El Emam K, Buckeridge D, Tamblyn R, Neisa A, Jonker E, Verma A. The re‐identification risk of Canadians from longitudinal demographics. BMC Med Inform Decis Mak. 2011;11:46. doi:10.1186/1472‐6947‐11‐46. CIHI. Seniors in transition: exploring pathways across the care continuum. 2017. Accessed March 29, 2023. https://www.cihi.ca/sites/default/files/document/seniors‐in‐transition‐report‐2017‐en.pdf. Williams AP, Challis D, Deber R, et al. Balancing institutional and community‐based care: why some older persons can age successfully at home while others require residential long‐term care. Healthc Q. 2009;12(2):95‐105. doi:10.12927/hcq.2009.3974. Chiu M, Lebenbaum M, Lam K, et al. Describing the linkages of the immigration, refugees and citizenship Canada permanent resident data and vital statistics death registry to Ontario's administrative health database. BMC Med Inform Decis Mak. 2016;16(1):135. doi:10.1186/s12911‐016‐0375‐3. Hirdes JP, Poss JW, Curtin‐Telegdi N. The method for assigning priority levels (MAPLe): a new decision‐support system for allocating home care resources. BMC Med. 2008;6:9. doi:10.1186/1741‐7015‐6‐9. Austin PC. An introduction to propensity score methods for reducing the effects of confounding in observational studies. Multivar Behav Res. 2011;46(3):399‐424. doi:10.1080/00273171.2011.568786. Morgan R, George A, Ssali S, Hawkins K, Molyneux S, Theobald S. How to do (or not to do)… gender analysis in health systems research. Health Policy Plan. 2016;31(8):1069‐1078. doi:10.1093/heapol/czw037. Tomiak M, Berthelot JM, Guimond E, Mustard CA. Factors associated with nursing‐home entry for elders in Manitoba, Canada. J Gerontol A Biol Sci Med Sci. 2000;55(5):M279‐M287. doi:10.1093/gerona/55.5.m279. Nuernberger K, Atkinson S, MacDonald G. Seniors in transition: exploring pathways across the care continuum. Healthc Q. 2018;21(1):10‐12. doi:10.12927/hcq.2018.25529. Morton‐Chang F, Williams AP, Berta W, Laporte A. Towards a community‐based dementia care strategy: how do we get there from here? Healthc Pap. 2016;16(2):8‐32. doi:10.12927/hcpap.2017.25006. Pirrie M, Harrison L, Angeles R, Marzanek F, Ziesmann A, Agarwal G. Poverty and food insecurity of older adults living in social housing in Ontario: a cross‐sectional study. BMC Public Health. 2020;20(1):1320. doi:10.1186/s12889‐020‐09437‐3. Ploeg J, Denton M, Hutchison B, et al. Primary health care providers' perspectives: facilitating older patients' access to community support services. Can J Aging. 2016;35(4):499‐512. doi:10.1017/S0714980816000568. Kloseck M, Crilly RG, Gutman GM. Naturally occurring retirement communities: untapped resources to enable optimal aging at home. J Housing Elderly. 2010;24(3–4):392‐412. doi:10.1080/02763893.2010.522448. Kuluski K, Williams AP, Laporte A, Berta W. The role of community‐based care capacity in shaping risk of long‐term care facility placement. Healthc Policy. 2012;8(1):92‐105. Jones A. The role of supportive housing for low‐income seniors in Ontario. 2007. Accessed March 29, 2023. https://citeseerx.ist.psu.edu/documentrepid=rep1&type=pdf&doi=491d8f9cff7d6be7a94250d6bf67efa6417045da. McCann M, Donnelly M, O'Reilly D. Living arrangements, relationship to people in the household and admission to care homes for older people. Age Ageing. 2011;40(3):358‐363. doi:10.1093/ageing/afr031. Yi SE, Harish V, Gutierrez J, et al. Predicting hospitalisations related to ambulatory care sensitive conditions with machine learning for population health planning: derivation and validation cohort study. BMJ Open. 2022;12(4):e051403. doi:10.1136/bmjopen‐2021‐051403. |
معلومات مُعتمدة: | DA6-184677 Canada CAPMC CIHR |
فهرسة مساهمة: | Keywords: nursing home; older adults; supportive environments |
تواريخ الأحداث: | Date Created: 20240618 Latest Revision: 20240618 |
رمز التحديث: | 20240619 |
DOI: | 10.1111/jgs.19038 |
PMID: | 38888381 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1532-5415 |
---|---|
DOI: | 10.1111/jgs.19038 |