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Outcomes After Community Discharge From Skilled Nursing Facilities: The Role of Medicaid Home and Community-Based Services.
Wang, Sijiu; Temkin-Greener, Helena; Simning, Adam; Konetzka, Rita Tamara; Cai, Shubing.
Afiliación
  • Wang S; Vanke School of Public Health, Tsinghua University, Beijing, China.
  • Temkin-Greener H; School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
  • Simning A; School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
  • Konetzka RT; Department of Public Health Sciences, University of Chicago, Chicago, IL, USA.
  • Cai S; School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
J Appl Gerontol ; 43(10): 1536-1543, 2024 Oct.
Article en En | MEDLINE | ID: mdl-38581163
ABSTRACT
This study investigated the association between Medicaid Home and Community-Based Services (HCBS) generosity and post-discharge outcomes among dual-eligible beneficiaries discharged from skilled nursing facilities (SNFs). We linked multiple national datasets for duals discharged from SNFs between 2010 and 2013. Accounting for SNF fixed effects, we estimated the effect of HCBS generosity, measured by its breadth and intensity, on the likelihood of remaining in the community, risks of death, nursing home (NH) admission, and hospitalizations within 30 and 180 days after SNF discharge. We found that higher HCBS generosity was associated with an increased likelihood of remaining in the community. HCBS breadth and intensity were both significantly associated with reduced risks of NH admission, while higher HCBS intensity was related to a reduced risk of acute hospitalizations within 30 days after discharge. Our findings suggest that more generous HCBS programs may facilitate smoother transitions and sustainable community living following SNF discharge.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Instituciones de Cuidados Especializados de Enfermería / Medicaid / Servicios de Salud Comunitaria Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Appl Gerontol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
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PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Instituciones de Cuidados Especializados de Enfermería / Medicaid / Servicios de Salud Comunitaria Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Appl Gerontol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos