Hospital Variation in Rates of New Institutionalizations Within 6 Months of Discharge.

ABSTRACT:

Objectives

Hospitalization in community-dwelling elderly is often accompanied by functional loss, increasing the risk for continued functional decline and future institutionalization. The primary objective of our study was to examine the hospital-level variation in rates of new institutionalizations among Medicare beneficiaries.

Design

Retrospective cohort study.

Setting

Hospitals and nursing homes.

Participants

Medicare fee-for-service beneficiaries discharged from 4,469 hospitals in 2013 (N = 4,824,040).

Measurements

New institutionalization, defined as new long term care nursing home residence (not skilled nursing facility) of at least 90 days duration within 6 months of hospital discharge.

Results

The overall observed rate of new institutional

SUBMITTER: Middleton A 

PROVIDER: S-EPMC5478433 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature