Hospital, patient, and local health system characteristics associated with the prevalence and duration of observation care.

ABSTRACT:

Objective

To examine the association between hospital, patient, and local health system characteristics and the likelihood, prevalence, and duration of observation care among fee-for-service Medicare beneficiaries.

Data sources

The 100 percent Medicare inpatient and outpatient claims and enrollment files for 2009, supplemented with 2007 American Hospital Association Survey and 2009 Area Resource File data.

Study design

Using a lagged cross-sectional design, we model the likelihood of a hospital providing any observation care using logistic regression and the conditional prevalence and duration of observation care using linear regression, among 3,692 general hospitals in the United States.

Principle findings

Critical access hospitals (CAHs) have 97 percent lower

SUBMITTER: Wright B 

PROVIDER: S-EPMC4111799 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature