Model 1 | Model 2 | Model 3 | |||||
---|---|---|---|---|---|---|---|
OR | 95% CI | OR | 95% CI | OR | 95% CI | ||
Health care input from community | |||||||
Receiving care services from visiting nurse agencies | Have received | 2.50 | 0.52–11.9 | 5.32 | 0.75–37.5 | ||
Visiting nurse agencies provide EOL care to the residents | Yes | 4.24 | 1.11–16.2 | 1.13 | 0.20–6.29 | ||
Hospitals or clinics provide EOL care to the residents | Yes | 14.0 | 2.51–78.1 | ||||
Facility Characteristics | |||||||
Number of years since establishment | Unit = 1 year | 2.07 | 1.28–3.37 | 2.55 | 1.42–4.60 | 2.92 | 1.50–5.68 |
Presence of day nursing staff | Yes | 0.38 | 0.11–1.29 | 0.68 | 0.17–2.68 | 0.73 | 0.15–3.51 |
Presence of night nursing staff | Yes | 12.5 | 0.40–390.9 | 4.52 | 0.10–205.2 | 1.54 | 0.03–70.4 |
Confirming residents’ EOL preferences with residents/family members | Yes | 5.44 | 1.16–25.5 | 2.42 | 0.44–13.4 | 1.85 | 0.26–13.1 |
Educating staff to support resident deaths | Yes | 1.40 | 0.42–4.69 | 1.36 | 0.35–5.40 | 0.65 | 0.13–3.31 |
Residents’ Characteristics | |||||||
Number of residents | Unit = 5 | 1.27 | 1.08–1.50 | 1.25 | 1.05–1.49 | 1.23 | 1.02–1.48 |
Mean age of residents (years) | Unit = 5 | 1.22 | 0.37–3.97 | 1.31 | 0.34–5.03 | 2.01 | 0.47–8.63 |
Rate of females (%) | Unit = 5% | 1.00 | 0.83–1.22 | 1.02 | 0.82–1.27 | 1.02 | 0.81–1.29 |
Rate of residents certified as Care Need Levels 3–5 (%) | Unit = 5% | 1.03 | 0.88–1.20 | 1.05 | 0.88–1.25 | 1.06 | 0.87–1.28 |
Rate of residents who lived in the same municipality as the facility (%) | Unit = 5% | 0.94 | 0.84–1.05 | 0.95 | 0.84–1.06 | 0.95 | 0.83–1.08 |
Regional Characteristics | |||||||
Municipal aging rate (%) | Unit = 5% | 1.64 | 0.56–4.83 | 1.58 | 0.53–4.70 | 1.51 | 0.45–5.09 |
Number of hospital beds per 100,000 elderly people (aged 60 years or over) | Unit = 100 | 0.98 | 0.94–1.02 | 1.00 | 0.95–1.04 | 1.00 | 0.95–1.05 |
Number of clinics per 100,000 elderly people (aged 60 years or over) | Unit = 10 | 1.01 | 0.94–1.10 | 0.99 | 0.89–1.10 | 0.99 | 0.88–1.12 |
Number of visiting nurse agencies per 100,000 elderly people (aged 60 years or over) | Unit = 1 | 0.93 | 0.83–1.05 | 0.94 | 0.83–1.06 | 0.94 | 0.82–1.08 |
Hosmer-Lemeshow test | p-value | 0.15 | 0.41 | 0.18 |