Hospitalizations in the Program of All-Inclusive Care for the Elderly
Hospitalizations in the Program of All-Inclusive Care for the Elderly
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DOI：
10.1111/jgs.12637
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发表时间：
2014-02-01
影响因子：
6.3
通讯作者：
Greener, Helena Temkin
中科院分区：
文献类型：
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作者：
Segelman, Micah;Szydlowski, Jill;Greener, Helena Temkin
目的测量老年人全纳护理计划（PACE）中的住院率、再入院率和潜在可避免的住院率（PAH）。设计回顾性研究。设置PACE。PACE入组者。测量每1,000人年的住院率和PAH率。再入院定义为在出院前30天内返回医院。多环芳烃被定义为住院条件，以前建立的标准已确定为可能预防或管理而无需hospitalis.ResultsRate的住院率为539/1,000，与962/1,000的双重资格的老年人或残疾人豁免（ADW）enrollees。30天再入院率为19.3%，而全国双重资格老年登记者的再入院率为22.9%。PAH发生率为100/1,000，而双重合格ADW入组者为250/1,000。相当大的变化，观察sites.ConclusionPACE登记者经历了较低的住院率，再入院，PAH比类似的人群。PACE研究中心之间的住院率差异表明存在质量改进的机会。
ObjectivesTo measure the rates of hospitalization, readmission, and potentially avoidable hospitalization (PAH) in the Program of All-Inclusive Care for the Elderly (PACE).DesignRetrospective study.SettingPACE.ParticipantsPACE enrollees.MeasurementsHospitalization and PAH rates were measured per 1,000 person-years. Readmission was defined as any return to the hospital within 30days of prior hospital discharge. PAHs were defined as hospitalizations for conditions that previously established criteria have identified as possibly preventable or manageable without hospitalization.ResultsRate of hospitalization was 539/1,000, vs 962/1,000 for dually eligible aged or disabled waiver (ADW) enrollees. Thirty-day readmission was 19.3%, compared with 22.9% for the national population of dually eligible older enrollees. PAH rate was 100/1,000, compared with 250/1,000 for dually eligible ADW enrollees. Considerable variation was observed between sites.ConclusionPACE enrollees experienced lower rates of hospitalization, readmission, and PAH than similar populations. Variations in hospitalization rates between PACE sites suggest opportunities for quality improvement.