{"id":20856,"date":"2024-12-18T10:26:43","date_gmt":"2024-12-18T15:26:43","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=20856"},"modified":"2025-01-10T10:38:38","modified_gmt":"2025-01-10T15:38:38","slug":"transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\/","title":{"rendered":"Transitions to nursing homes among residents of assisted living and community-dwelling home care recipients"},"content":{"rendered":"<p><strong>Objectives<\/strong> \u2014\u00a0To examine transitions to a nursing home among residents of assisted living relative to community-dwelling home care recipients.<\/p>\n<p><strong>Design<\/strong> \u2014\u00a0Population-based retrospective cohort study emulating a target trial.<\/p>\n<p><strong>Setting and participants<\/strong> \u2014 Linked, individual-level health system data were obtained from older adults (\u226565 years of age) who made an incident application for a bed in a nursing home in Ontario, Canada, between April 1, 2014, and March 31, 2019, and were followed until December 31, 2019.<\/p>\n<p><strong>Methods<\/strong> \u2014 Residency in assisted living was compared with only community-dwelling home care. Any long-stay (\u226590 days) and short-stay (&lt;90 days) transitions to a nursing home were examined. Inverse probability weighted pooled logistic regression models were used to generate marginal cumulative incidence curves under each exposure status that were standardized by the covariates.<\/p>\n<p><strong>Results<\/strong> \u2014 This study included 10,012 residents of assisted living (mean [SD] age 88.7 [6.26] years, 75% female) and 131,679 home care recipients (mean [SD] age 84.8 [7.43] years, 63% female) who applied for a bed in a nursing home (N = 141,691; 95,744.6 person-years). There were 6049 transitions among applicants from assisted living and 85,190 transitions among applicants who were home care recipients to a nursing home. The 5-year absolute risk reduction was 110 transitions to a nursing home per 1000 older adult applicants if all applicants resided in assisted living (95% CI, 71\u2013148). Residency in assisted living resulted in a 12.7% relative decrease in the 5-year risk of any transition to a nursing home had all applicants resided in assisted living (95% CI, 8.3%\u201317.1%).<\/p>\n<p><strong>Conclusions and implications <\/strong>\u2014\u00a0Residents of assisted living were less likely to transition to a nursing home, despite equivalent clinical complexity and health care needs. The integration of assisted living into the continuum of care from the community to institutionalized nursing homes would better inform health system capacity and planning.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives \u2014\u00a0To examine transitions to a nursing home among residents of assisted living relative to community-dwelling home care recipients. Design \u2014\u00a0Population-based retrospective cohort study emulating a target trial. Setting and participants \u2014 Linked, individual-level health system data were obtained from older adults (\u226565 years of age) who made an incident application for a bed in [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[30,32],"migration-helper-qa-sample-set":[],"class_list":["post-20856","journal_article","type-journal_article","status-publish","hentry","topic-home-and-community-care","topic-long-term-care-and-continuing-care"],"acf":{"citation":"Manis DR, Kirkwood D, Fisher S, Li W, Webber C, Tanuseputro P, Stall NM, Watt JA, Hsu AT, Savage RD, Bronskill SE, Costa AP. <em>J Am Med Dir Assoc<\/em>. 2024; Dec 18 [Epub ahead of print].","source_url":"https:\/\/www.jamda.com\/article\/S1525-8610(24)00851-X\/abstract","ices_scientist":[1121,1355,1159,1186],"site":[6737],"research_program":[6747],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Transitions to nursing homes among residents of assisted living and community-dwelling home care recipients<\/title>\n<meta name=\"description\" content=\"Objectives \u2014\u00a0To examine transitions to a nursing home among residents of assisted living relative to community-dwelling home care recipients. Design\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Transitions to nursing homes among residents of assisted living and community-dwelling home care recipients\" \/>\n<meta property=\"og:description\" content=\"Objectives \u2014\u00a0To examine transitions to a nursing home among residents of assisted living relative to community-dwelling home care recipients. Design\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-10T15:38:38+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\\\/\",\"name\":\"ICES | Transitions to nursing homes among residents of assisted living and community-dwelling home care recipients\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2024-12-18T15:26:43+00:00\",\"dateModified\":\"2025-01-10T15:38:38+00:00\",\"description\":\"Objectives \u2014\u00a0To examine transitions to a nursing home among residents of assisted living relative to community-dwelling home care recipients. Design\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Transitions to nursing homes among residents of assisted living and community-dwelling home care recipients\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | Transitions to nursing homes among residents of assisted living and community-dwelling home care recipients","description":"Objectives \u2014\u00a0To examine transitions to a nursing home among residents of assisted living relative to community-dwelling home care recipients. Design","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | Transitions to nursing homes among residents of assisted living and community-dwelling home care recipients","og_description":"Objectives \u2014\u00a0To examine transitions to a nursing home among residents of assisted living relative to community-dwelling home care recipients. Design","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2025-01-10T15:38:38+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\/","name":"ICES | Transitions to nursing homes among residents of assisted living and community-dwelling home care recipients","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2024-12-18T15:26:43+00:00","dateModified":"2025-01-10T15:38:38+00:00","description":"Objectives \u2014\u00a0To examine transitions to a nursing home among residents of assisted living relative to community-dwelling home care recipients. Design","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/transitions-to-nursing-homes-among-residents-of-assisted-living-and-community-dwelling-home-care-recipients\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"Transitions to nursing homes among residents of assisted living and community-dwelling home care recipients"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/20856","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6747"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6737"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1186"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1159"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1355"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1121"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=20856"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=20856"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=20856"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=20856"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=20856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}