A new research review from the Agency for Healthcare Research and Quality compares patient health outcomes when cared for at different types of long-term care (LTC) facilities.
With over 11 million people in the United States requiring LTC, it is important research looks at the differences between LTC settings and the effects they have on patients.
When comparing outcomes in assisted living facilities with nursing homes over time, low-strength evidence suggested there were no differences in outcomes for physical function, cognitive health, mental health, or mortality in patients at both types of facilities.
When comparing outcomes of home and community-based services with nursing homes over time, low-strength evidence suggested home and community-based service recipients experienced higher rates of some types of harms, including accidents, injuries, abuse, or neglect.
Nursing home residents experienced higher rates of other types of harms, such as having a feeding tube or having a pressure ulcer.
Details can be found in the evidence-based review “Long Term Care Strategies in Older Adults: A Review of Home and Community-based Services Versus Institutional Care” on the Effective Health Care Program Website.