Impact of establishing an Alzheimer's special care unit in a nursing home on facility occupancy and payer mix
Impact of establishing an Alzheimer's special care unit in a nursing home on facility occupancy and payer mix
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DOI：
10.1097/wad.0b013e3181461945
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发表时间：
2007-07-01
影响因子：
2.1
通讯作者：
Castle, Nicholas G.
中科院分区：
文献类型：
--
作者：
Castle, Nicholas G.
在这项研究中，我们使用了12年（1991年至2003年）收集的全国数据来研究开设阿尔茨海默氏症特别护理病房（A-SCU）的疗养院随后是否影响了其入住率、医疗保险支付者组合或私人支付组合。本调查中使用的数据主要来自1991年至2003年的自动记录在线调查认证和地区资源文件。大约20%（n = 2815）的疗养院有一个A-SCU在2003年。我们发现，开设一个A-SCU促进了更有利的入住率和私人支付组合，但没有影响医疗保险支付者的组合。开设A-SCU三年后，养老院入住率的增长超过3%，私人付费人口普查的增长约为2%。这些增长是在全国趋势是入住率下降和私人付费人口普查的情况下发生的。
In this research, we used national data collected over a period of 12 years (1991 to 2003) to examine whether nursing homes opening an Alzheimer's Special Care Unit (A-SCU) subsequently influenced their occupancy, Medicare payer mix, or private-pay mix. Data used in this investigation primarily came from the 1991 to 2003 On-line Survey Certification of Automated Records and the Area Resource File. Approximately, 20% (n = 2815) of nursing homes had an A-SCU in 2003. We found that opening an A-SCU promoted more favorable occupancy rates and private-pay mix, but did not influence Medicare payer mix. Three years after opening an A-SCU, the gain in occupancy rate for nursing homes was more than 3% and the gain in private-pay census was approximately 2%. These gains occurred while the national trend was one of declining occupancy and private-pay census.