J Korean Acad Community Health Nurs.  2008 Jun;19(2):196-204.

Factors Affecting of Long Term Care Hospital Patient's Intention of Transfer to a Nursing Home

• Lee JY
• Park EG

Abstract

PURPOSE
To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home. METHOD: A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2. RESULT: Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home.
CONCLUSION
For appropriate service utilization, a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.

Keyword

Long Term Care; Hospital; Nursing Home; Intention; Patient; Transfer

MeSH Terms

Caregivers
Fee Schedules
Humans
Insurance
Insurance, Health
Intention*
Logistic Models
Long-Term Care*
Nursing Homes*
Surveys and Questionnaires