Facility ownership and mortality among older adults residing in care homes
| العنوان: | Facility ownership and mortality among older adults residing in care homes |
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| المؤلفون: | Ana Ruigómez, Roberto Pastor-Barriuso, Javier Damián, Pablo Martinez-Martin, Jesús de Pedro-Cuesta, Fernando García-López |
| المساهمون: | Instituto de Salud Carlos III |
| المصدر: | PLoS ONE, Vol 14, Iss 3, p e0197789 (2019) Repisalud Instituto de Salud Carlos III (ISCIII) PLoS ONE |
| بيانات النشر: | Cold Spring Harbor Laboratory, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, Research design, Care homes, Social Sciences, Alzheimer's Disease, Geographical locations, Cohort Studies, 0302 clinical medicine, Elderly, Sociology, Epidemiology, Medicine and Health Sciences, Homes for the Aged, Medicine, 030212 general & internal medicine, Aged, 80 and over, Multidisciplinary, 030503 health policy & services, Mortality rate, Inverse probability weighting, Absolute risk reduction, Neurodegenerative Diseases, Europe, Neurology, Cohort, Female, 0305 other medical science, Health Facilities, Proprietary, Cohort study, Research Article, medicine.medical_specialty, Interview, Death Rates, Science, Education, 03 medical and health sciences, Population Metrics, Mental Health and Psychiatry, Humans, European Union, Mortality, Educational Attainment, Aged, Population Biology, business.industry, Ownership, Biology and Life Sciences, Long-Term Care, Confidence interval, Nursing Homes, Health Care, Long-term care, Health Care Facilities, Age Groups, Spain, People and Places, Dementia, Population Groupings, business, Follow-Up Studies, Demography |
| الوصف: | http://hdl.handle.net/20.500.12105/7003Test [Dataset] BACKGROUND AND OBJECTIVES: Nursing or care home characteristics may have a long-term impact on the residents' mortality risks that has not been studied previously. The study's main objective was to assess the association between facility ownership and long-term, all-cause mortality. RESEARCH DESIGN AND METHODS: We conducted a mortality follow-up study on a cohort of 611 nursing-home residents in the city Madrid, Spain, from their 1998-1999 baseline interviews up to September 2013. Residents lived in three types of facilities: public, subsidized and private, which were also sub-classified according to size (number of beds). Residents' information was collected by interviewing the residents themselves, their caregivers and facility physicians. We used time-to-event multivariable models and inverse probability weighting to estimate standardized mortality risk differences. RESULTS: After a 3728 person-year follow-up (median/maximum of 4.8/15.2 years), 519 participants had died. In fully-adjusted models, the standardized mortality risk difference at 5 years of follow-up between medium-sized private facilities and large-sized public facilities was -18.9% (95% confidence interval [CI]: -33.4 to -4.5%), with a median survival (95% CI) of 3.6 (0.5 to 6.8) additional years. The fully-standardized 5-year mortality difference (95% CIs) between for-profit private facilities and not-for-profit public institutions was -15.1% (-31.1% to 0.9%), and the fully-standardized median survival difference (95% CIs) was 3.0 (-1.7 to 7.7) years. DISCUSSION AND IMPLICATIONS: These results are compatible with an association between factors related with the ownership of facilities and the long-term mortality risk of their residents. One of these factors, the facility size, could partly explain this association. This work was supported by the Carlos III Institute of Health [PI15CIII00037] to JD. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Sí |
| اللغة: | English |
| DOI: | 10.1101/319459 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3b710b4541cd810fe93092592e6008e3Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....3b710b4541cd810fe93092592e6008e3 |
| قاعدة البيانات: | OpenAIRE |
| DOI: | 10.1101/319459 |
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