Hospitalizations in nursing homes: does payer source matter? Evidence from New York State.
Hospitalizations in nursing homes: does payer source matter? Evidence from New York State.
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DOI：
10.1177/1077558711399581
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发表时间：
2011-10
期刊：
影响因子：
--
通讯作者：
Temkin-Greener H
中科院分区：
文献类型：
--
作者：
Shubing Cai;Mukamel DB;Veazie P;Katz P;Temkin-Greener H
本研究的目的是探讨医疗补助和私人支付养老院居民之间不同的住院率的原因-解开这两种类型的居民之间的住院的跨设施差异的设施内的差异。链接了纽约州的多个数据来源（2003年）。住院是因变量。个人支付者身份是主要的自变量。设施被分为四组的所有权状态和床位持有支付资格。我们发现了设施内（医疗补助居民比设施内的私人付费居民更有可能住院）和跨设施差异（医疗补助居民集中度较高的设施更有可能让他们的居民住院），控制个人和设施特征。设施内差异的大小随设施所有权和床位持有资格而变化。为了减少医疗补助居民的住院率，提高医疗质量和成本，政策制定者可能需要调整医疗补助和医疗保险的激励措施。
The objective of this study was to examine the reasons for different hospitalization rates between Medicaid and private-pay nursing home residents – to disentangle within-facility differences from across-facility variations in hospitalizations between these two types of residents. Multiple data sources (2003) for New York State were linked. Hospitalization was the dependent variable. Individual payer status was the main independent variable. Facilities were stratified into four groups by ownership status and bed-hold payment eligibility. We found both within-facility (Medicaid residents were more likely to be hospitalized than private-pay residents within a facility) and across-facility differences (facilities with a higher concentration of Medicaid residents were more likely to hospitalize their residents), controlling for individual and facility characteristics. The magnitude of within-facility differences varied with facility ownership and bed-hold eligibility. To reduce hospitalizations of Medicaid residents and to improve both quality of care and costs, policy-makers may need to align Medicaid's and Medicare's incentives.
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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：
3
作者：
Gambassi, G;Landi, F;Bernabei, R
通讯作者：
Bernabei, R
影响因子：
8.2
作者：
GERTLER, PJ;WALDMAN, DM
通讯作者：
WALDMAN, DM
DOI：
10.1111/j.1532-5415.2004.52111.x
发表时间：
2004-03-01
影响因子：
6.3
作者：
Intrator, O;Mor, V
通讯作者：
Mor, V
影响因子：
3.4
作者：
Intrator, Orna;Grabowski, David C.;Mor, Vince
通讯作者：
Mor, Vince