Health Care Use Before and After Entering Long-Term Services and Supports
| Autor: | Charlene Harrington, Taewoon Kang, Denis Hulett, Robert Newcomer, Michelle J Ko, Andrew B. Bindman |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Activities of daily living Adolescent Medicare California Young Adult 03 medical and health sciences 0302 clinical medicine Nursing Activities of Daily Living Health care medicine Humans Longitudinal Studies 030212 general & internal medicine Young adult Aged Aged 80 and over Personal care Medicaid business.industry 030503 health policy & services Middle Aged Patient Acceptance of Health Care Home Care Services Long-Term Care United States Nursing Homes Term (time) Hospitalization Long-term care Care in the Community Family medicine Female Geriatrics and Gerontology Emergency Service Hospital 0305 other medical science business Gerontology |
| Zdroj: | Journal of Applied Gerontology. 37:26-40 |
| ISSN: | 1552-4523 0733-4648 |
| DOI: | 10.1177/0733464816641393 |
| Popis: | Objective: We examined the health care utilization patterns of Medicare and Medicaid enrollees (MMEs) before and after initiating long-term care in the community or after admission to a nursing facility (NF). Method: We used administrative data to compare hospitalizations, emergency department (ED) visits, and post-acute care use of MMEs receiving long-term care in California in 2006-2007. Results: MMEs admitted to a NF for long-term care had much greater use of hospitalizations, ED visits, and post-acute care before initiating long-term care than those entering long-term care in the community. Post-entry, community service users had less than half the average monthly hospital and ED use compared with the NF cohort. Conclusion: Hospital and ED use prior to and following NF and personal care program entry suggest a need for reassessing the monitoring of these high-risk populations and the communication between health and community care providers. |
| Databáze: | OpenAIRE |
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