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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Nancy A. Miller, PhD, Policy Sciences Graduate Program, UMBC, 1000 Hilltop Circle, Baltimore, MD 21250, 410-455-3201, nanmille@umbc.edu and Marcie Weinstein, MBA, OTR/L, Department of Occupational Therapy & Occupational Science, Towson University, 8000 York Road, Towson, MD 21252.
Objectives: We examine the preferred and actual level of consumers' participation in the nursing home admission decision. The relationship between consumer sociodemographic, enabling and health status characteristics and participation is also examined. Methods: Semi-structured in-person interviews were conducted with 200 consumers in 12 nursing homes in Maryland. Probit models were utilized to examine the relationship between consumer characteristics and the preferred, as well as actual level of involvement in the admission decision. Results: Preliminary data (n=75) indicate that working age individuals admitted to a nursing home are typically poor, minority, never married, insured by Medicaid or uninsured, a self report a variety of medical conditions. While virtually all participants preferred to be actively involved in the decision, one-third reported that they had no involvement in the actual decision. Consumers who were African American, female, insured by Medicaid, of higher income, able to identify the medical provider involved in the decision, and HIV positive were more likely to report active involvement in the decision. Individuals admitted from the hospital and who could identify a family member/friend involved were more likely to express a preference for active involvement, while those who were older and who were on oxygen were less likely to prefer active involvement. Aproximately half of the sample reported that no family/friend was involved, and about half could not identify the medical provider involved in the decision. These relationships will be further examined in the full study sample of 200 participants.
Learning Objectives:
Keywords: Disability Studies, Long-Term Care
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.