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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
KeywordsLong-term care
Medicaid
Medicare
acute inpatient care
home care/nursing homes
Issue Date2014
PublisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/HSR
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
2017 Impact Factor: 2.667
2015 SCImago Journal Rankings: 2.372
PubMed Central ID
ISI Accession Number ID

 

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.issn0017-9124-
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.publisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/HSR-
dc.relation.ispartofHealth Services Research-
dc.rightsThe definitive version is available at www.blackwell-synergy.com-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectLong-term care-
dc.subjectMedicaid-
dc.subjectMedicare-
dc.subjectacute inpatient care-
dc.subjecthome care/nursing homes-
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.description.naturepublished_or_final_version-
dc.identifier.doi10.1111/1475-6773.12168-
dc.identifier.pmid24628471-
dc.identifier.pmcidPMC4231571-
dc.identifier.hkuros253717-
dc.identifier.volume49-
dc.identifier.issue3-
dc.identifier.spage778-
dc.identifier.epage797-
dc.identifier.isiWOS:000335975000002-
dc.publisher.placeUnited States-

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