The association between long-term care setting and potentially preventable hospitalizations among older dual eligibles.

ABSTRACT:

Objective

To compare the probability of experiencing a potentially preventable hospitalization (PPH) between older dual eligible Medicaid home and community-based service (HCBS) users and nursing home residents.

Data sources

Three years of Medicaid and Medicare claims data (2003-2005) from seven states, linked to area characteristics from the Area Resource File.

Study design

A primary diagnosis of an ambulatory care sensitive condition on the inpatient hospital claim was used to identify PPHs. We used inverse probability of treatment weighting to mitigate the potential selection of HCBS versus nursing home use.

Principal findings

The most frequent conditions accounting for PPHs were the same among the HCBS users and nursing home residents and included congestiv

SUBMITTER: Wysocki A 

PROVIDER: S-EPMC4231571 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature