Effect of state medicaid reimbursement rates on hospitalizations from nursing homes
Effect of state medicaid reimbursement rates on hospitalizations from nursing homes
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DOI：
10.1111/j.1532-5415.2004.52111.x
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发表时间：
2004-03-01
影响因子：
6.3
通讯作者：
Mor, V
中科院分区：
文献类型：
--
作者：
Intrator, O;Mor, V
目的：评估国家医疗补助养老院报销率对养老院居民住院的影响。设计：1993年在10个州中的每个州的一个大都会统计区域内对25张床位或更多床位的非国有养老院进行横断面抽样，并对死亡率和住院率进行6个月的随访。设置：253家养老院。对象：从每个养老院中随机选择8到16名居民，总计2,080人。测量：研究护士在基线水平进行的最小数据集评估。三个类别6个月的结果被定义为：(1)任何住院；对于未住院的人，(2)死亡与(3)在设施中生活。结果：使用多项Logistic回归，调整到调查设计，控制居民和设施的特征，1993年医疗补助报销率比平均水平增加10美元，大约75美元，居民住院风险降低9%(P
OBJECTIVES: To estimate the effect of state Medicaid nursing home reimbursement rates on hospitalizations of nursing home residents.DESIGN: Cross-sectional sample of nongovernment-owned nursing homes with 25 beds or more in one Metropolitan Statistical Area in each of 10 states in 1993, with 6 months follow-up on mortality and hospitalizations.SETTING: Two hundred fifty-three nursing homes.PARTICIPANTS: Eight to 16 randomly selected residents from each facility, totaling 2,080.MEASUREMENTS: Minimum Data Set assessments conducted by research nurses at baseline. A three-category 6-month outcome was defined as (1) any hospitalization; for those not hospitalized, (2) death versus (3) alive in the facility.RESULTS: Using multinomial logistic regression, adjusted to survey design, controlling for resident and facility characteristics, a $10 increase in 1993 Medicaid reimbursement rate above the mean rate of approximately $75 resulted in a 9% reduction in a resident's risk of hospitalization (P