The Residential History File: Studying Nursing Home Residents' Long-Term Care Histories
The Residential History File: Studying Nursing Home Residents' Long-Term Care Histories
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DOI：
10.1111/j.1475-6773.2010.01194.x
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发表时间：
2011-02-01
影响因子：
3.4
通讯作者：
Mor, Vince
中科院分区：
文献类型：
--
作者：
Intrator, Orna;Hiris, Jeffrey;Mor, Vince
目的构建一个数据工具，住宅历史文件(RHF)，它汇总了来自联邦医疗保险索赔和养老院(NH)最低数据集(MDS)评估的信息，以跟踪人们在医疗保健地点，包括非联邦医疗保险支付的NH住院。数据来源202个独立的NHS、联邦医疗保险分母、索赔(A和B部分)的在线认证和报告调查(OSCAR)数据，以及其中一个NHS的60,984人的MDS评估。方法概述了创建RHF的算法，并使用研究数据的RHF描述死亡地点。NHS中居民的身份识别与OSCAR和B部分索赔中的报告进行了比较。主要发现RHF正确地识别了84.8%的B部分索赔在NH的服务地点，在调查当天，它确定的居民平均比OSCAR中报告的居民少18.3人。RHF显示，17.5%的非医疗保险NH死亡患者被转移到医院死亡，而45.6%的熟练护理机构死亡。结论RHF的基于人群的设计使进行与政策相关的研究成为可能，以检查全美卫生保健过渡的比率和类型的差异。
ObjectiveTo construct a data tool, the Residential History File (RHF), that summarizes information from Medicare claims and nursing home (NH) Minimum Data Set (MDS) assessments to track people through health care locations, including non-Medicare-paid NH stays.Data SourcesOnline Survey of Certification and Reporting (OSCAR) data for 202 free-standing NHs, Medicare Denominator, claims (parts A and B), and MDS assessments for 60,984 people who were present in one of these NHs in 2006.MethodsThe algorithm creating the RHF is outlined and the RHF for the study data are used to describe place of death. The identification of residents in NHs is compared with the reports in OSCAR and part B claims.Principal FindingsThe RHF correctly identified 84.8 percent of part B claims with place-of-service in NH, and it identified 18.3 less residents on average than reported in the OSCAR on the day of the survey. The RHF indicated that 17.5 percent non-Medicare NH decedents were transferred to the hospital to die versus 45.6 percent skilled nursing facility decedents.ConclusionsThe population-based design of the RHF makes it possible to conduct policy-relevant research to examine the variation in the rate and type of health care transitions across the United States.