Health and Discharge Outcomes among Younger and Older Nursing Home Residents

我们去年完成了所有分析，并在去年的年度进展报告中报告了分析结果。 我们计划根据这些发现提交一份手稿。 由于数据的限制，研究非老年养老院人口可能具有挑战性。虽然唯一的公共使用的全国养老院调查（NNHS）收集了美国养老院，其服务，工作人员和居民的数据，但最近的调查（2004年NNHS）是在五年多前进行的。 因此，我们不知道非老年护理住院医师的组成和特征是否随着时间的推移而发生变化。 此外，1997年和1999年的NNHS是仅有的两个包含疗养院出院信息的公共使用文件。我们不知道他们是否真正反映了目前养老院人群，特别是非老年人群的出院结果。 由于NNHS不收集成本信息，因此无法估计养老院护理的总成本和有效性。 为了解决这个问题，我们计划使用医疗保险和医疗补助中心（CMS）提供的基于索赔的数据进行类似的研究。 该项目将根据NIH临床中心和CMS之间的机构间协议进行。

We completed all the analyses last year and reported the findings in last years annual progress report. We plan to submit a manuscript based on these findings. Due to data limitations, studying non-elderly nursing home population can be challenging. While the only public-use National Nursing Home Survey (NNHS) collects data on nursing homes, their services, staff, and residents in the United States, the most recent survey (2004 NNHS) was conducted more than five years ago. Therefore, we do not know if the composition and characteristics of non-elderly nursing residents have changed over time. Moreover, the 1997 and 1999 NNHS are the only two public-use files that contain information of nursing home discharges. We dont know if they truly reflect discharge outcomes among current nursing home population, in particular, non-elderly population. Since the NNHS does not collect cost information, the total cost and the effectiveness of nursing home care cannot be estimated. To address this issue, we plan to conduct a similar study using claim-based data provided by the Centers for Medicare and Medicaid (CMS). This project will be carried out under an inter-agency agreement between the NIH Clinical Center and the CMS.