File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: The association between long-term care setting and potentially preventable hospitalizations among older dual eligibles

TitleThe association between long-term care setting and potentially preventable hospitalizations among older dual eligibles
Authors
Issue Date2014
Citation
Health Services Research, 2014, v. 49 n. 3, p. 778-797 How to Cite?
AbstractOBJECTIVE: To compare the probability of experiencing a potentially preventable hospitalization (PPH) between older dual eligible Medicaid home and community-based service (HCBS) users and nursing home residents. DATA SOURCES: Three years of Medicaid and Medicare claims data (2003-2005) from seven states, linked to area characteristics from the Area Resource File. STUDY DESIGN: A primary diagnosis of an ambulatory care sensitive condition on the inpatient hospital claim was used to identify PPHs. We used inverse probability of treatment weighting to mitigate the potential selection of HCBS versus nursing home use. PRINCIPAL FINDINGS: The most frequent conditions accounting for PPHs were the same among the HCBS users and nursing home residents and included congestive heart failure, pneumonia, chronic obstructive pulmonary disease, urinary tract infection, and dehydration. Compared to nursing home residents, elderly HCBS users had an increased probability of experiencing both a PPH and a non-PPH. CONCLUSIONS: HCBS users' increased probability for potentially and non-PPHs suggests a need for more proactive integration of medical and long-term care.
Persistent Identifierhttp://hdl.handle.net/10722/218897
ISSN

 

DC FieldValueLanguage
dc.contributor.authorWysocki, A-
dc.contributor.authorKane, RL-
dc.contributor.authorGolberstein, E-
dc.contributor.authorDowd, B-
dc.contributor.authorLum, TYS-
dc.contributor.authorShippee, T-
dc.date.accessioned2015-09-18T06:59:50Z-
dc.date.available2015-09-18T06:59:50Z-
dc.date.issued2014-
dc.identifier.citationHealth Services Research, 2014, v. 49 n. 3, p. 778-797-
dc.identifier.issn1475-6773 (Electronic) 0017-9124 (Linkin-
dc.identifier.urihttp://hdl.handle.net/10722/218897-
dc.description.abstractOBJECTIVE: To compare the probability of experiencing a potentially preventable hospitalization (PPH) between older dual eligible Medicaid home and community-based service (HCBS) users and nursing home residents. DATA SOURCES: Three years of Medicaid and Medicare claims data (2003-2005) from seven states, linked to area characteristics from the Area Resource File. STUDY DESIGN: A primary diagnosis of an ambulatory care sensitive condition on the inpatient hospital claim was used to identify PPHs. We used inverse probability of treatment weighting to mitigate the potential selection of HCBS versus nursing home use. PRINCIPAL FINDINGS: The most frequent conditions accounting for PPHs were the same among the HCBS users and nursing home residents and included congestive heart failure, pneumonia, chronic obstructive pulmonary disease, urinary tract infection, and dehydration. Compared to nursing home residents, elderly HCBS users had an increased probability of experiencing both a PPH and a non-PPH. CONCLUSIONS: HCBS users' increased probability for potentially and non-PPHs suggests a need for more proactive integration of medical and long-term care.-
dc.languageeng-
dc.relation.ispartofHealth Services Research-
dc.titleThe association between long-term care setting and potentially preventable hospitalizations among older dual eligibles-
dc.typeArticle-
dc.identifier.emailLum, TYS: tlum@hku.hk-
dc.identifier.authorityLum, TYS=rp01513-
dc.identifier.doi10.1111/1475-6773.12168-
dc.identifier.hkuros253717-
dc.identifier.hkuros252100-
dc.identifier.volume49-
dc.identifier.issue3-
dc.identifier.spage778-
dc.identifier.epage797-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats