Interviews with Australian nursing home managers reveal that various factors are associated with the decision to transfer a resident to hospital, including two factors not identified in previous research: advance care planning and support from local health services.

摘要

Context Numerous factors impact the decision to transfer a nursing home resident to the local hospital. Previous research has broadly defined these as residents' welfare, residents' preferences, providers' attitudes and the financial implications of hospitalisation. Shanley et al studied nursing home administrators at 41 facilities in Australia with the goal of understanding the dynamics that lead to hospital transfer and explored ways to reduce such transitions in care.