{"id":4181,"date":"2015-09-30T00:00:00","date_gmt":"2015-09-30T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/hospitalization-and-mortality-rates-in-long-term-care-facilities-does-for-profit-status-matter\/"},"modified":"2023-06-14T20:12:48","modified_gmt":"2023-06-15T00:12:48","slug":"hospitalization-and-mortality-rates-in-long-term-care-facilities-does-for-profit-status-matter","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/hospitalization-and-mortality-rates-in-long-term-care-facilities-does-for-profit-status-matter\/","title":{"rendered":"Hospitalization and mortality rates in long-term care facilities: does for-profit status matter?"},"content":{"rendered":"<p><strong>Objectives<\/strong> &#x2014; To establish if proprietary status (ie, for-profit or not-for-profit) is associated with mortality and hospitalizations among publicly funded long-term care (nursing) homes.<\/p>\n<p><strong>Methods<\/strong> &#x2014; We conducted a retrospective cohort study of new admissions in 640 publicly funded long-term care facilities in Ontario, Canada (384 for-profit, 256 not-for-profit). A population-based cohort of 53,739 incident admissions into long-term care facilities between January 1, 2010, and March 1, 2012, was observed. We measured adjusted rates of hospital admissions and mortality, per 1000 person-years (PY) of follow-up, among for-profit and not-for-profit facilities at 3, 6, and 12 months postadmission. Rates were measured postadmission and until discharge or death, whichever came first.<\/p>\n<p><strong>Results<\/strong> &#x2014; One year after admission and before discharge, 11.7% of residents died and 25.7% had at least one hospitalization. After 12 months of follow-up, residents in for-profit facilities had a hospitalization rate of 462 per 1000 PY versus 358 per 1000 PY in not-for-profit facilities. During this period, the crude mortality rate in for-profit facilities was 208 per 1000 PY versus 185 per 1000 PY in not-for-profit facilities. At 3, 6, and 1 year after admission, for-profit facilities had an adjusted hazard ratio of 1.36 (95% confidence interval [CI] 1.28 &#x2013; 1.43), 1.33 (95% CI 1.27 &#x2013; 1.39), and 1.25 (95% CI 1.21 &#x2013; 1.30) for hospitalizations and hazards of 1.20 (95% CI 1.11 &#x2013; 1.29), 1.16 (95% CI: 1.09 &#x2013; 1.24), and 1.10 (95% CI: 1.05 &#x2013; 1.16) for mortality, respectively.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; Publicly funded for-profit facilities have significantly higher rates of both mortality and hospital admissions.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives &#x2014; To establish if proprietary status (ie, for-profit or not-for-profit) is associated with mortality and hospitalizations among publicly funded long-term care (nursing) homes. Methods &#x2014; We conducted a retrospective cohort study of new admissions in 640 publicly funded long-term care facilities in Ontario, Canada (384 for-profit, 256 not-for-profit). A population-based cohort of 53,739 incident [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,62,32],"migration-helper-qa-sample-set":[],"class_list":["post-4181","journal_article","type-journal_article","status-publish","hentry","topic-acute-and-emergency-services","topic-health-services-research","topic-long-term-care-and-continuing-care"],"acf":{"citation":"Tanuseputro P, Chalifoux M, Bennett C, Gruneir A, Bronskill SE, Walker P, Manuel D. <em>J Am Med Dir Assoc<\/em>. 2015; 16(10):874-83. Epub 2015 Sep 30.","source_url":"http:\/\/www.jamda.com\/article\/S1525-8610(15)00414-4\/fulltext","ices_scientist":[1323,1245,1159,1107],"site":[6734,6733,6735],"research_program":[6740],"news_release":[7816],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"8088210D-009B-4172-BBA9-F86A61D08435","sitecore_item_name":"Hospitalization-and-mortality-rates-in-long-term-care-facilities-does-for-profit-status-matter","sitecore_field_values":"{\n  \"__Valid from\": \"20170726T155237\",\n  \"Title\": \"Hospitalization and mortality rates in long-term care facilities: does for-profit status matter?\",\n  \"Short title\": \"Hospitalization and mortality rates\",\n  \"Summary\": \"The researchers attempted to establish if proprietary status (ie, for-profit or not-for-profit) is associated with mortality and hospitalizations among publicly funded long-term care (nursing) homes\",\n  \"Citation\": \"<p>Tanuseputro P, Chalifoux M, Bennett C, Gruneir A, Bronskill SE, Walker P, Manuel D. <em>J Am Med Dir Assoc<\/em>. 2015; 16(10):874-83. Epub 2015 Sep 30. <\/p>\",\n  \"Abstract\": \"<p><strong>Objectives<\/strong> &mdash; To establish if proprietary status (ie, for-profit or not-for-profit) is associated with mortality and hospitalizations among publicly funded long-term care (nursing) homes.<\/p>n<p><strong>Methods<\/strong> &mdash; We conducted a retrospective cohort study of new admissions in 640 publicly funded long-term care facilities in Ontario, Canada (384 for-profit, 256 not-for-profit). A population-based cohort of 53,739 incident admissions into long-term care facilities between January 1, 2010, and March 1, 2012, was observed. We measured adjusted rates of hospital admissions and mortality, per 1000 person-years (PY) of follow-up, among for-profit and not-for-profit facilities at 3, 6, and 12 months postadmission. Rates were measured postadmission and until discharge or death, whichever came first.<\/p>n<p><strong>Results<\/strong> &mdash; One year after admission and before discharge, 11.7% of residents died and 25.7% had at least one hospitalization. After 12 months of follow-up, residents in for-profit facilities had a hospitalization rate of 462 per 1000 PY versus 358 per 1000 PY in not-for-profit facilities. During this period, the crude mortality rate in for-profit facilities was 208 per 1000 PY versus 185 per 1000 PY in not-for-profit facilities. At 3, 6, and 1 year after admission, for-profit facilities had an adjusted hazard ratio of 1.36 (95% confidence interval [CI] 1.28 &ndash; 1.43), 1.33 (95% CI 1.27 &ndash; 1.39), and 1.25 (95% CI 1.21 &ndash; 1.30) for hospitalizations and hazards of 1.20 (95% CI 1.11 &ndash; 1.29), 1.16 (95% CI: 1.09 &ndash; 1.24), and 1.10 (95% CI: 1.05 &ndash; 1.16) for mortality, respectively.<\/p>n<p><strong>Conclusions<\/strong> &mdash; Publicly funded for-profit facilities have significantly higher rates of both mortality and hospital admissions.<\/p>n<p><a href=\"http:\/\/www.jamda.com\/article\/S1525-8610(15)00414-4\/fulltext\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{3152776E-00E0-4F1E-B171-A6FCA903D3DC}|{95BBE8DE-D10D-45F0-8843-79306044E334}|{E93E0287-ACCB-4952-BB98-00EF52815525}\",\n  \"Related Products\": \"<h2>NEWS RELEASE<\/h2>rn<h3><a href=\"~\/link.aspx?_id=2708AF2BEAA74852860CCD1300A4DCD6&amp;_z=z\">Does profit status affect hospitalization and mortality rates in long-term care homes? <\/a><\/h3>rn<h2>In the News<\/h2>rn<h3><a href=\"http:\/\/www.thestar.com\/news\/canada\/2015\/10\/07\/death-rates-higher-in-for-profit-nursing-homes-report-says.html\" title=\"External link to The Star website opens in new window\" target=\"_blank\">Death rates higher in for-profit nursing homes, report says<\/a><\/h3>\",\n  \"Research Programs\": \"{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}|{46DF28D2-EDE8-4DF2-8CC0-87CEF464E435}\",\n  \"ICES Locations\": \"{0AD77E2C-C883-4E93-8B9A-40B82D50E3A5}|{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}|{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}\",\n  \"ICES Scientists\": \"{3178B170-580F-4CCA-A2D4-687D1150C87C}|{54306858-3CB9-4AF1-920F-9B0BE028DD82}|{68FD9EE5-974B-4CED-A597-82186232FF1D}|{B9979611-1657-47B5-B80F-08815BA48831}\",\n  \"Posted Date\": \"20150930T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2015\/January\/Hospitalization-and-mortality-rates-in-long-term-care-facilities-does-for-profit-status-matter"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Hospitalization and mortality rates in long-term care facilities: does for-profit status matter?<\/title>\n<meta name=\"description\" content=\"Objectives &#x2014; 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