Place of care in the last three years of life for Medicare beneficiaries.

ABSTRACT:

Background

Most older adults prefer aging in place; however, patients with advanced illness often need institutional care. Understanding place of care trajectory patterns may inform patient-centered care planning and health policy decisions. The purpose of this study was to characterize place of care trajectories during the last three years of life.

Methods

Linked administrative, claims, and assessment data were analyzed for a 10% random sample cohort of US Medicare beneficiaries who died in 2018, aged fifty or older, and continuously enrolled in Medicare during their last five years of life. A group-based trajectory modeling approach was used to classify beneficiaries based on the proportion of days of institutional care (hospital inpatient or skilled nursing facility) and

SUBMITTER: Lin H 

PROVIDER: S-EPMC10809551 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature