The revolving door of rehospitalization from skilled nursing facilities.
The revolving door of rehospitalization from skilled nursing facilities.
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DOI：
10.1377/hlthaff.2009.0629
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发表时间：
2010-01
期刊：
影响因子：
--
通讯作者：
Grabowski DC
中科院分区：
文献类型：
--
作者：
Mor V;Intrator O;Feng Z;Grabowski DC
医疗保险政策制定者最近开始有兴趣改变围绕再次住院的支付激励措施。使用合并的索赔数据，我们的分析表明，2006年，从医院出院到熟练护理机构(SNF)的23.5%的联邦医疗保险受益人在30天内直接重新入院，联邦医疗保险的成本为43.4亿美元。虽然这些结果显示了显著的潜在节省，但我们也发现，SNF再住院本质上是不同的，并且基于实践模式在不同地区之间有很大差异。医疗保险支付改革需要考虑到不同地理位置和不同住院类型的激励措施，才能有效。
Medicare policymakers have recently become interested in changing the payment incentives around rehospitalizations. Using merged claims data, our analyses indicate 23.5% of Medicare beneficiaries discharged from the hospital to a skilled nursing facility (SNF) were directly readmitted within 30 days at a cost to Medicare of $4.34 billion in 2006. Although these results indicate significant potential savings, we also found that SNF rehospitalizations were heterogeneous in nature and varied considerably across local areas based on practice patterns. Medicare payment reform needs to account for incentives that vary geographically and by type of hospitalization in order to be effective.
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影响因子：
8
作者：
Grabowski, David C.;Gruber, Jonathan;Angelelli, Joseph J.
通讯作者：
Angelelli, Joseph J.
影响因子：
2.8
作者：
Teno, Joan M.;Mitchell, Susan L.;Mor, Vincent
通讯作者：
Mor, Vincent
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3.4
作者：
Intrator, Orna;Grabowski, David C.;Mor, Vince
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Mor, Vince
影响因子：
158.5
作者：
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影响因子：
3
作者：
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通讯作者：
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