VA Research and Development LOGO

Logo for the Journal of Rehab R and D
Volume 41 Number 6A, November/December 2004
Pages 847 — 860

Analyses of male residents in community nursing facilities: Comparisons of Veterans Health Administration residents to other residents

Robert J. Buchanan, PhD; Christopher Johnson, PhD; Suojin Wang, PhD; Diane C. Cowper, MA; Myung Suk Kim, MS; Dean Reker, PhD, RN

College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC; Department of Veterans Affairs (VA) Rehabilitation Research and Development and Health Services Research and Development Rehabilitation Outcomes Research Center, and Department of Health Services Administration, University of Florida, Gainesville, FL; Department of Statistics, Texas Agricultural and Mechanical University, College Station, TX; Department of Health Policy and Management, Kansas City VA Medical Center, Kansas University Medical Center, Kansas City, KS
Abstract — We compared Veterans Health Administration (VHA) residents in community nursing facilities to other residents. We used all admission assessments in the Minimum Data Set throughout the United States during 2000 to identify 7,296 male VHA residents and 159,203 other male residents in community nursing facilities. Male VHA residents were significantly more independent in the self-performance of activities of daily living and less physically disabled than other male residents, with minor differences in cognitive function as measured by a Cognitive Performance Scale. Male VHA residents were more likely to have comorbidities than other male residents. Significantly larger proportions of other male residents than VHA residents received special treatments and procedures, with especially large differences for various therapies (e.g., physical therapy). We found significant differences in the demographic and clinical characteristics of male VHA residents in community nursing facilities compared with other male residents. These differences in the delivery of services may have implications for the quality of care for veterans in this setting.

Key words: comorbidities, disability, Minimum Data Set, nursing facilities, special treatments, therapies, veterans.

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