Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents.

Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents. Abstract Text:

Edward R Marcantonio,A James O'Malley,Rachel L Murkofsky,Daryl J Caudry,Joan L Buchanan,

OBJECTIVE: To derive and confirm scales measuring medical director's attitudes about hospitalization of nursing home residents. METHOD: The authors surveyed nursing facility medical directors about the necessity of hospitalizing residents for eight clinical conditions and compared the ratings to those obtained from an expert panel to derive a relative hospitalization score. They also asked about factors that might influence hospitalization decisions. They performed a factor analysis to derive scales that measure attitudinal determinants of hospitalization and used the relative hospitalization score to confirm the scales. RESULTS: The survey had a 79% response rate. The relative hospitalization score demonstrated that medical directors were slightly less likely to recommend hospitalization than expert panel physicians. Factor analyses yielded 10 scales focusing on nursing home functioning, economics, resident specific considerations, and physician attitudes. Eight of the 10 scales had significant bivariable associations with the relative hospitalization score, and 6 had significant multivariable associations. DISCUSSION: Medical directors identify multiple determinants of hospitalization for nursing facility residents across several domains. Hospitalization decisions for nursing facility residents are complex and involve clinical and nonclinical factors.

Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents. Publishing Authors By Initials

ER Marcantonio,AJ O'Malley,RL Murkofsky,DJ Caudry,JL Buchanan,

For similar natural sciences: weights and measures research abstracts see: natural sciences: weights and measures research

PUBMED ID PMID:

MEDLINE DATE:

Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Journal of aging and health

VOLUME: 18

Page Numbers: 869-84

Journal Abbreviation:

ISSN: 0898-2643

DAY: 3

MONTH: Dec

YEAR: 2006

Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8912686

Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents. Keywords Mesh Terms:

KEYWORDS: Weights and Measures

MESH TERMS: psychology

Chemical & Substance for Abstract: Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents.

AFFILIATION: Harvard Medical School & Beth Israel Deaconess Medical Center, USA.

Country: United States

AGENCY: United States AHRQ

GRANT: R01 HS 10645

ACRONYM: HS

MEDLINETA: J Aging Health

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents Related Publications

• An individualized psychosocial approach for "treatment resistant" behavioral symptoms of dementia among aged care residents.
• Autotransporter structure reveals intra-barrel cleavage followed by conformational changes.
• Behind the call center. Maximizing hospital call centers is not just a matter of goals, relationships and human interaction, it's about more efficient IT.
• Characterization of T wave alternans with ambulatory electrocardiography.
• Derivation and confirmation of scales measuring medical directors' attitudes about the hospitalization of nursing home residents.
• Do ACL-injured copers exhibit differences in knee kinematics?: An MRI study.
• Enzymatic synthesis of the methyl group of methionine. III. Spectral and electrophoretic studies of the prosthetic group of the B12 enzyme.
• Gastric inhibitory polypeptide (GIP) responses in type 2 diabetes using three different antibodies.
• Genetic diversity in a feral horse population from Sable Island, Canada.
• Genetics of gestational diabetes mellitus and type 2 diabetes.
• Laboratory markers of thrombosis risk in children with hereditary spherocytosis.
• Letter to the editor.
• Measuring adolescent functional health literacy: a pilot validation of the Test of Functional Health Literacy in Adults.
• Nestling testosterone controls begging behaviour in the pied flycatcher, Ficedula hypoleuca.
• Neuropsychology of the deficit syndrome: new data and meta-analysis of findings to date.
• Optimal pennation angle of the primary ankle plantar and dorsiflexors: variations with sex, contraction intensity, and limb.
• Pharmacokinetics of raloxifene in male Wistar-Hannover rats: Influence of complexation with hydroxybutenyl-beta-cyclodextrin.
• Retrieval of emotional memories.
• Review of clinical correlates of P50 sensory gating abnormalities in patients with schizophrenia.
• Role of protein O-mannosyltransferase Pmt4 in the morphogenesis and virulence of Cryptococcus neoformans.
• Short-term oral corticosteroid therapy for acute haemarthrosis in haemophilia patients with high-titre inhibitors.
• Sjögren's syndrome: History, clinical and pathological features.
• Spatial gradients in Clovis-age radiocarbon dates across North America suggest rapid colonization from the north.
• The courage of Galileo: Joseph Needham and the "germ warfare" allegations in the Korean War.
• The limits of proxy decisionmaking for incompetents.
• Thioredoxin: an unexpected meeting place.
• Tibialis anterior volumes and areas in ACL-injured limbs compared with unimpaired.
• To suspend or not to suspend: a randomised single blind trial of simple trapeziectomy versus trapeziectomy and flexor carpi radialis suspension.
• Tuning of the human left fusiform gyrus to sublexical orthographic structure.
• US6 Burning mouth syndrome.