Hospital Readmission Rates The Impacts of Age, Payer, and Mental Health Diagnoses
Hospital Readmission Rates The Impacts of Age, Payer, and Mental Health Diagnoses
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DOI：
10.1097/jac.0b013e3182866c1c
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发表时间：
2013-04-01
影响因子：
2.3
通讯作者：
Hughes, John S.
中科院分区：
文献类型：
--
作者：
Fuller, Richard L.;Atkinson, Graham;Hughes, John S.
我们考察了年龄、支付者和精神健康状况对再入院的影响以及同一家医院和多家医院再入院率的可比性。医疗补助的主要付款和极端年龄与显著更高的再住院率相关。我们发现同一家医院和多家医院的再住院率之间的相关性很低，并发现医疗补助患者和精神健康住院比例较高的城市医院是推动再入院链中多家医院使用的因素。如果导致较高再住院率的因素被忽视，或者如果不能确定不同医院的再入院情况，那么使用再住院率的医院薪酬激励和绩效衡量将被扭曲。
We examine impacts of age, payer, and mental health conditions upon hospital readmissions and the comparability of same-hospital and multiple-hospital readmission rates. Medicaid primary payment and extreme age are associated with significantly higher readmission rates. We find low correlation between same-hospital and multiple-hospital readmission rates and identify urban hospitals with high proportions of Medicaid patients andmental health admissions as factors driving the use of multiple hospitals within readmission chains. Hospital payment incentives and performance measures using readmission rates will be distorted if factors leading to higher readmission rates are ignored, or if readmissions to different hospitals cannot be identified.