دورية أكاديمية
أعرض في EDS

Urban-Rural Differences in Skilled Nursing Facility Rehospitalization Rates.

التفاصيل البيبلوغرافية
العنوان: Urban-Rural Differences in Skilled Nursing Facility Rehospitalization Rates.
المؤلفون: Clement JP; Department of Health Administration, Virginia Commonwealth University, Richmond, VA. Electronic address: jclement@vcu.edu., Khushalani J; Department of Health Administration, Virginia Commonwealth University, Richmond, VA., Baernholdt M; School of Nursing, Virginia Commonwealth University, Richmond, VA.
المصدر: Journal of the American Medical Directors Association [J Am Med Dir Assoc] 2018 Oct; Vol. 19 (10), pp. 902-906. Date of Electronic Publication: 2018 Apr 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 100893243 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1538-9375 (Electronic) Linking ISSN: 15258610 NLM ISO Abbreviation: J Am Med Dir Assoc Subsets: MEDLINE
أسماء مطبوعة: Publication: 2005- : [New York?] : Elsevier
Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2000-
مواضيع طبية MeSH: Rural Health Services* , Skilled Nursing Facilities* , Urban Health Services*, Patient Readmission/*statistics & numerical data, Aged ; Cross-Sectional Studies ; Economic Competition ; Hospital Bed Capacity ; Humans ; Linear Models ; Nursing Staff/supply & distribution ; Physicians, Family/supply & distribution ; Population Dynamics ; Quality Indicators, Health Care ; United States/epidemiology
مستخلص: Objectives: To examine the association of rurality with skilled nursing facility (SNF) all-cause 30-day risk-adjusted rehospitalization rates.
Design: Cross-sectional study combining Center for Medicare and Medicaid Services Nursing Home Compare (CMS-NHC) website for 30-day risk-adjusted rehospitalization rates for 2014-2015 with SNF organizational and community variables.
Participants: 12,261 non-hospital based skilled nursing facilities in the US.
Measurements: We estimated a multiple linear regression model of percentage all-cause unplanned risk-adjusted rehospitalization rate within 30 days after a hospital discharge and admission to the SNF averaged over the third and fourth quarters of 2014 and the first and second quarters of 2015. The model uses robust standard errors.
Results: After controlling for community- and SNF-level resources, the risk-adjusted rehospitalization rates for SNFs are lowest in rural areas and large rural towns followed by SNFs in suburban and then urban areas.
Conclusion: The rural culture that includes a strong sense of connectedness among residents may contribute to lower SNF rehospitalization rates. Our results suggest that rural SNFs may avoid future reimbursement penalties and decreased admissions from patients discharged from hospitals because of their lower rehospitalizaton rates. However, because this is the first study to address this topic, additional research is needed.
(Copyright © 2018 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Long-term care; access to care; health services research; rehospitalization; urban-rural location
تواريخ الأحداث: Date Created: 20180415 Date Completed: 20191118 Latest Revision: 20191118
رمز التحديث: 20221213
DOI: 10.1016/j.jamda.2018.03.001
PMID: 29653810
قاعدة البيانات: MEDLINE
الوصف
تدمد:1538-9375
DOI:10.1016/j.jamda.2018.03.001