Buczko W
U.S. Health Care Financing Administration, Baltimore, USA.
J Health Hum Serv Adm. 2001 Summer;24(1):103-32.
Postacute care under Medicare may be provided in several institutional settings, some of which function as substitutes for each other, including rehabilitation care in either specialty hospitals and hospital units excluded from Medicare PPS or skilled nursing facility care. This study uses Medicare billing data to examine institution-based postacute care utilization for beneficiaries' hospital episodes occurring from February 1, 1992 through June 30, 1992. Data on inpatient and postacute Part A services used by Medicare inpatients receiving care in rehabilitation facilities or skilled nursing facilities are presented. The results indicate that, even after casemix is controlled for, inpatient stay treatment variables affect postacute care utilization patterns. Nonclinical factors such as age and sex also affect choice of postacute care site.
医疗保险下的急性后期护理可在多种机构环境中提供，其中一些机构可相互替代，包括专科医院和被排除在医疗保险预付费制度之外的医院科室的康复护理，或熟练护理设施护理。本研究使用医疗保险计费数据，来检查1992年2月1日至1992年6月30日期间受益人的住院期间基于机构的急性后期护理使用情况。呈现了在康复设施或熟练护理设施接受护理的医疗保险住院患者使用的住院和急性后期A部分服务的数据。结果表明，即使在控制了病例组合之后，住院治疗变量仍会影响急性后期护理的使用模式。年龄和性别等非临床因素也会影响急性后期护理地点的选择。
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