Risk Factors for Hospitalization Among Medicare Home Care Patients
| Autor: | T. Joseph Sheehan, Richard H. Fortinsky, Elizabeth A. Madigan, Juliane R. Fenster, Susan Tullai-McGuinness |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Medicare 03 medical and health sciences Clinical prognosis Patient Admission 0302 clinical medicine Case mix index Risk Factors Home health Diabetes mellitus Humans Medicine 030212 general & internal medicine Significant risk Risk factor General Nursing Aged Ohio Rehabilitation 030504 nursing business.industry medicine.disease Home Care Services United States Hospitalization Increased risk Chronic Disease Emergency medicine Female 0305 other medical science business |
| Zdroj: | Western Journal of Nursing Research. 28:902-917 |
| ISSN: | 1552-8456 0193-9459 |
| DOI: | 10.1177/0193945906286810 |
| Popis: | This study determined factors associated with an increased risk of ending Medicare home health care because of hospitalization and examined specific types of and reasons for hospitalization. Sample members ( N = 922) were followed from admission to discharge as they received home care from Ohio Medicare-certified home care agencies between December 1999 and March 2002. Potential patient-level risk factors were predisposing, enabling, or need variables, and an agency-level variable denoting hospital affiliation or free-standing status was examined as a second-level risk factor. Among those hospitalized (18.3%), more than 80.0% experienced emergency hospitalizations, mostly for acute exacerbations of chronic diseases. Statistically significant risk factors for hospitalization included dyspnea severity, functional disability level, skin or wound problems, diabetes, case mix score, and guarded rehabilitation prognosis. Home care agencies might reduce hospitalizations by using clinical prognosis as a key resource for team communication and by helping patients and families anticipate potential acute exacerbations of chronic diseases and manage these events at home. |
| Databáze: | OpenAIRE |
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