Rashmita Basu, Bei Wu, Huabin Luo, Leeanna Allgood
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引用次数: 0
Abstract
To investigate the association of ownership status, discharge rate and length of stay (LOS) of home health care (HH) services under the prospective payment system (PPS). We used 2016-2018 Outcome Assessment and Information Set (OASIS) data sets for Medicare beneficiaries. Two outcome variables were investigated: rate of discharge from an HH agency and LOS. Our main independent variable was ownership status: for-profit (FP) versus not-for-profit (NFP). FP agencies were 4.2% (p <.01) less likely to discharge patients to the community but more likely (7.3%; p <.001) to have longer LOS (>99 days) compared to NFPs. Findings that FP agencies were less likely to discharge patients to the community and more likely to have a longer length of stay than NFP agencies have implications for quality of care initiatives by the Medicare Post-Acute Transformation Act 2014.
目的:探讨前瞻性付费系统(PPS)下家庭健康护理(HH)服务的所有权状况、出院率和住院时间(LOS)的关系。我们使用了2016-2018年医疗保险受益人的结果评估和信息集(OASIS)数据集。研究了两个结果变量:从HH机构的出院率和LOS。我们的主要独立变量是所有权状态:营利性(FP)与非营利性(NFP)。与NFPs相比，FP机构为4.2% (p p 99天)。FP机构比NFP机构更不可能将患者出院到社区，更可能有更长的住院时间，这一发现对2014年《医疗保险急性后转化法案》的护理质量倡议有影响。
期刊介绍：
Home Health Care Services Quarterly continues to publish important research on the cutting edge of home care and alternatives to long-term institutional care for the elderly, disabled, and other population groups that use in-home health care and other community services. The journal is aimed toward service providers and health care specialists involved with health care financing, evaluation of services, organization of services, and public policy issues.
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