Hospitalizations of nursing homes residents: the role of reimbursement policies
نویسنده
چکیده
Factors which contribute to hospitalization of nursing home residents are multiple and complex. They include dimensions of the policy setting as well as patient management practices. In seeking interventions to reduce such hospitalizations, most research has focussed on changing patient management. But provider reimbursement policies may also influence the decision to hospitalize nursing home residents. This includes payments to hospitals and general practitioners as well as to the nursing homes themselves. Differences in payment methods may mean that interventions that work well in one setting do not work well in another.This is a commentary on http://www.ijhpr.org/content/3/1/2/.
منابع مشابه
Systematic implementation of an advance directive program in nursing homes: a randomized controlled trial.
CONTEXT Although advance directives are commonly used in the community, little is known about the effects of their systematic implementation. OBJECTIVES To examine the effect of systematically implementing an advance directive in nursing homes on patient and family satisfaction with involvement in decision making and on health care costs. DESIGN Randomized controlled trial conducted June 1,...
متن کاملRehabilitation for long term residents.
Should the ill aged in nursing homes be kept clean, fed, clothed in 'patients' gowns, and in or near their beds? Or should they be engaged in self-care, and active physical and social therapy aimed toward their eventual discharge to more independent living arrangements? During the 1970s, decision-making bodies regarded long-term care primarily as custodial. Present policies, regulations, and re...
متن کاملPredictors of Nursing Home Residents' Time to Hospitalization
OBJECTIVES To model the predictors of the time to first acute hospitalization for nursing home residents, and accounting for previous hospitalizations, model the predictors of time between subsequent hospitalizations. DATA SOURCES Merged file from New York State for the period 1998-2004 consisting of nursing home information from the minimum dataset and hospitalization information from the St...
متن کاملTo evacuate or shelter in place: implications of universal hurricane evacuation policies on nursing home residents.
OBJECTIVE To examine the differential morbidity/mortality associated with evacuation versus sheltering in place for nursing home (NH) residents exposed to the 4 most recent Gulf hurricanes. METHODS Observational study using Medicare claims and NH data sources. We compared the differential mortality/morbidity for long-stay residents exposed to 4 recent hurricanes (Katrina, Rita, Gustav, and Ik...
متن کامل