The effect of hospice on hospitalizations of nursing home residents.
The effect of hospice on hospitalizations of nursing home residents.
复制标题
临终关怀对疗养院居民住院的影响。
DOI：
10.1016/j.jamda.2014.08.010
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发表时间：
2015
影响因子：
7.6
通讯作者：
Temkin-Greener,Helena
中科院分区：
文献类型：
--
作者：
Zheng,NanTracy;Mukamel,DanaB;Friedman,Bruce;Caprio,ThomasV;Temkin-Greener,Helena
目的安宁疗护的登记可以降低使用安宁疗护的疗养院居民的住院风险，我们研究了居住在安宁疗护普及率较高的机构是否：（1）降低非安宁疗护居民的住院风险;和（2）相对于在具有较低临终关怀渗透率的设施中的临终关怀登记居民，降低了临终关怀登记居民的住院风险。最低数据集版本2.0、服务提供商文件和区域资源文件。对2005-2007年期间死亡的长期入住疗养院居民的回顾性分析。总体而言，包括全国14，030个设施中的505，851名非临终关怀（67.66%）和241，790名临终关怀登记居民（32.34%）。我们拟合模型预测住院的概率条件临终关怀渗透和居民和设施的特点。本研究以工具变数法探讨安宁疗护普及率与住院率间之潜在关联性。每个护理之家和最近的临终关怀机构之间的距离是工具变量。结果在生命的最后30天，37.63%的非临终关怀机构和23.18%的临终关怀机构的居民住院。每增加10%的临终关怀渗透率导致住院风险的非临终关怀居民和4.8%的临终关怀登记residents.ConclusionsHigher设施水平的临终关怀渗透率降低非临终关怀和临终关怀登记居民的住院风险。研究结果揭示了养老院临终关怀服务，提供者之间的合作，以及临终关怀的成本效益分析。
ObjectivesHospice enrollment is known to reduce risk of hospitalizations for nursing home residents who use it. We examined whether residing in facilities with a higher hospice penetration: (1) reduces hospitalization risk for nonhospice residents; and (2) decreases hospice-enrolled residents' hospitalization risk relative to hospice-enrolled residents in facilities with a lower hospice penetration.MethodsMedicare Beneficiary File, Inpatient and Hospice Claims, Minimum Data Set Version 2.0, Provider of Services File, and Area Resource File. Retrospective analysis of long-stay nursing home residents who died during 2005–2007. Overall, 505,851 nonhospice (67.66%) and 241,790 hospice-enrolled (32.34%) residents in 14,030 facilities nationwide were included. We fit models predicting the probability of hospitalization conditional on hospice penetration and resident and facility characteristics. We used instrumental variable method to address the potential endogeneity between hospice penetration and hospitalization. Distance between each nursing home and the closest hospice was the instrumental variable.ResultsIn the last 30 days of life, 37.63% of nonhospice and 23.18% of hospice residents were hospitalized. Every 10% increase in hospice penetration leads to a reduction in hospitalization risk of 5.1% for nonhospice residents and 4.8% for hospice-enrolled residents.ConclusionsHigher facility-level hospice penetration reduces hospitalization risk for both nonhospice and hospice-enrolled residents. The findings shed light on nursing home end-of-life care delivery, collaboration among providers, and cost benefit analysis of hospice care.
DOI：
10.1111/j.1532-5415.2000.tb03906.x
发表时间：
2000-02-01
影响因子：
6.3
作者：
Saliba, D;Kington, R;Rubenstein, L
通讯作者：
Rubenstein, L
疗养院住院的预测因素
影响因子：
2.5
作者：
D. Grabowski;Kate A. Stewart;S. Broderick;Laura A. Coots
通讯作者：
Laura A. Coots