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Who receives post-acute care? Characteristics of national population and field test sample.
Rodriguez, Anthony; Edelen, Maria O; McMullen, Tara L; Ahluwalia, Sangeeta C; Chen, Emily K; Dalton, Sarah E; Paddock, Susan; Saliba, Debra; Mandl, Stella; Mota, Teresa.
Afiliación
  • Rodriguez A; RAND Corporation, Boston, Massachusetts, USA.
  • Edelen MO; RAND Corporation, Boston, Massachusetts, USA.
  • McMullen TL; Patient Reported Outcomes Value and Experience (PROVE) Center, Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.
  • Ahluwalia SC; Pain Management, Opioid Safety, and PDMP Program Office, Veterans Health Administration, Washington, District of Columbia, USA.
  • Chen EK; RAND Corporation, Santa Monica, California, USA.
  • Dalton SE; UCLA Fielding School of Public Health, Los Angeles, California, USA.
  • Paddock S; RAND Corporation, Arlington, Virginia, USA.
  • Saliba D; RAND Corporation, Santa Monica, California, USA.
  • Mandl S; NORC at the University of Chicago, Chicago, Illinois, USA.
  • Mota T; RAND Corporation, Santa Monica, California, USA.
J Am Geriatr Soc ; 70(4): 991-1000, 2022 04.
Article en En | MEDLINE | ID: mdl-35235201
BACKGROUND: Each year millions of Medicare beneficiaries in the United States receive post-acute care (PAC) in skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), long-term care hospitals (LTCHs), and home health agencies (HHA). We describe, overall and by PAC setting, the national population of facilities and patients, evaluate the representativeness of a national field test sample, and describe patient characteristics in the national field test sample. METHODS: We analyzed the 2016 Provider of Service file, 2016 patient assessment data reported by PAC providers to Centers for Medicare & Medicaid, and data collected from PAC providers participating in a national field test. National data included 27,234 PAC settings and 5,033,820 beneficiaries receiving PAC. The national field test sample consisted of 143 facilities across 14 markets with 25-30 patients sampled from each facility (n = 3669). We describe PAC facility and patient characteristics for both the national and field test sample. RESULTS: Nationally, PAC facilities were more likely for-profit versus not for-profit, have an average nurse-to-bed ratio between 1:10 to 1:1 (lowest in SNFs) and be in metropolitan versus other areas. PAC patients were more likely to be white, female, and 75-89 years of age; heart failure as a primary medical condition tended to be more common than stroke or sepsis. There was limited variability across setting types. In the national field test, patients in LTCHs demonstrated a greater likelihood of cognitive impairment, positive depression screening, bowel and bladder appliance use, higher rates of medication drug classes taken, and use of therapeutic diets and IV medications. CONCLUSION: The national field test facility and patient samples were fairly representative of the national population overall and across settings with a few exceptions. Moreover, differences according to PAC setting on patient characteristics in the national field test aligned with general differences in patient populations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Agencias de Atención a Domicilio / Atención Subaguda Límite: Aged / Female / Humans País/Región como asunto: America do norte Idioma: En Revista: J Am Geriatr Soc Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Agencias de Atención a Domicilio / Atención Subaguda Límite: Aged / Female / Humans País/Región como asunto: America do norte Idioma: En Revista: J Am Geriatr Soc Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos