Do Residents Participating in Minnesota's Return to Community Initiative Experience Similar Postdischarge Outcomes to Their Peers?
Do Residents Participating in Minnesota's Return to Community Initiative Experience Similar Postdischarge Outcomes to Their Peers?
复制标题
参与明尼苏达州重返社区倡议的居民是否会经历与同龄人类似的出院后结果？
DOI：
10.1097/mlr.0000000000001281
复制
发表时间：
2020
期刊：
影响因子：
3
通讯作者：
Arling,Greg
中科院分区：
文献类型：
--
作者：
Hass,Zachary;Woodhouse,Mark;Arling,Greg
目的：本研究的目的是评估明尼苏达州重返社区计划（RTCI）对通过该计划过渡的养老院居民出院后结果的影响。数据来源：次要数据来自最低数据集和RTCI工作人员（2015年1月至2016年12月），州医疗补助资格文件和死亡记录。样本包括2015年明尼苏达州29201名养老院出院患者。研究设计：Cox比例风险模型用于比较RTCI辅助社区出院的养老院再入院、死亡率和医疗补助转换1年后的结果，以及倾向匹配的非辅助社区出院样本。结果：大多数（60%）RTCI辅助出院的患者仍然存活，在社区中，并且在出院后1年没有转向医疗补助。辅助组到死亡的时间明显低于未辅助组，但再入院和医疗补助转换的时间相似。结论：RTCI辅助住院患者出院后死亡率、再入院率和医疗补助转换率均较好；他们比倾向匹配的同龄人活得更长。
Objective:The objective of this study was to evaluate the impact of Minnesota’s Return to Community Initiative (RTCI) on postdischarge outcomes for nursing home residents transitioned through the program.Data Sources:Secondary data were from the Minimum Data Set and RTCI staff (January 2015 to December 2016), state Medicaid eligibility files and death records. The sample consisted of 29,201 nursing home discharges in Minnesota occurring in 2015.Research Design:Cox proportional hazard models were used to compare 1-year postdischarge outcomes of nursing home readmission, mortality, and Medicaid conversion for RTCI assisted community discharges and a propensity-matched sample of unassisted community discharges.Results:The majority (60%) of RTCI assisted discharges remained alive, in the community and not having converted at Medicaid at 1 year after discharge. Time to mortality was significantly lower for the assisted group than the unassisted group, but time to readmission and Medicaid conversion were similar.Conclusion:The RTCI assisted residents fared well postdischarge in their time to mortality, nursing home readmission, and Medicaid conversion; they lived longer than a propensity-matched sample of their peers.