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Hospital provision of institutional long-term care: pattern and correlates.

Muramatsu N, Lee SY, Alexander JA. Hospital provision of institutional long-term care: pattern and correlates. The Gerontologist. 2000 Oct 1; 40(5):557-67.

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PURPOSE: This study examined the pattern and correlates of institutional long-term care provision among U.S. community hospitals, differentiating two categories of services: (1) skilled nursing and rehabilitation (SN-R) and (2) other long-term care (O-LTC). DESIGN AND METHODS: Multinomial logistic regression analysis was used to examine the associations of hospital and community characteristics with the pattern of long-term care provision (SN-R only, O-LTC only, both SN-R and O-LTC, and None) among 3,842 hospitals. RESULTS: The pattern of long-term care provision was significantly associated with hospitals' mission (for-profit and teaching status) and their internal and external resources. IMPLICATIONS: Results suggest the importance of considering hospital and community characteristics in predicting the impact of policy changes and in envisioning the role of hospitals in long-term care.

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