Hospital ownership of post-acute care: does it increase access to post-acute care services?
Hospital ownership of post-acute care: does it increase access to post-acute care services?
复制标题
医院对急性期后护理的所有权：它是否增加了获得急性期后护理服务的机会？
DOI：
--
复制
发表时间：
1995
期刊：
影响因子：
--
通讯作者：
M. Finch
中科院分区：
文献类型：
--
作者：
L. Blewett;R. Kane;M. Finch
本研究探讨了医院的特点和访问后急性护理（PAC）使用一个综合性的数据库，结合医院的特点与临床和人口统计学信息的患者的关系。数据来自明尼阿波利斯/圣保罗、休斯顿和匹兹堡三个城市地区的52家医院，以及五个诊断相关组（DRG）的2,572名患者。分析发现，急性期后护理的医院所有权与中风和慢性阻塞性肺疾病（COPD）住院后出院的患者使用PAC显著相关。我们发现很少有显著的医院特征影响PAC的使用，但是，正如预期的那样，对于选定的DRG，如果患者从拥有急性后护理或为高比例的医疗保险患者提供服务的医院出院，则他们更有可能接受PAC。一般而言，患者特征是研究的DRG中急性期后护理使用的更一致的预测因素。
This study examines the relationship of hospital characteristics and access to post-acute care (PAC) using a comprehensive database that combines hospital characteristics with clinical and demographic information of patients. The data was drawn from 52 hospitals in three urban areas--Minneapolis/St. Paul, Houston, and Pittsburgh--and 2,572 patients within five diagnosis-related groups (DRGs). The analysis found hospital ownership of post-acute care significantly associated with use of PAC for patients discharged after hospitalization for stroke and chronic obstructive pulmonary disease (COPD). We found few significant hospital characteristics influencing use of PAC, but, as expected, for selected DRGs, patients were more likely to receive PAC if they were discharged from a hospital that either owned post-acute care or served a high proportion of Medicare patients. In general, patient characteristics were more consistent predictors of post-acute care use across the DRGs studied.