Autor: |
Qian, Xufeng, Russell, Louise B., Valiyeva, Elmira, Miller, Jane E. |
Jazyk: |
angličtina |
Rok vydání: |
2005 |
Předmět: |
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Popis: |
Medicare?s prospective payment system (PPS), introduced in 1983, pays hospitals a fixed price for each stay rather than reimbursing costs. Previous studies evaluated its first few years using endogenous measures to control for heterogeneity in patients? health. We examine PPS over a full decade using competing risks Cox survival models and a national longitudinal survey with independent information on patients? health. New findings include: risk of death in hospital increased; risk of discharge to a nursing home continued to increase as PPS matured; and risk of nursing home admission from the community following hospital discharge rose. HMOs may have contributed to these outcomes. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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