Bronskill Susan E, Normand Sharon-Lise T, McNeil Barbara J
Institute for Clinical Evaluative Sciences, University of Toronto.
Health Care Financ Rev. 2002 Winter;24(2):77-93.
This exploratory study examined the extent to which factors beyond characteristics of the patient, such as discharging hospital attributes and State factors, contributed to variations in post-acute services use (PASU) in a cohort of elderly Medicare patients following acute myocardial infarction (AMI). Thirty-seven percent of this cohort received PAS within 30 days of discharge and home health care was the most common type of service used. Patient severity of illness at hospital discharge, for-profit ownership of the discharging hospital, and discharging hospital provision of home health services were shown to be important predictors of PASU. After adjusting for many patient and hospital characteristics, however, variation in PASU remained across States.
这项探索性研究考察了患者特征以外的因素，如出院医院属性和州因素，在多大程度上导致了一组老年医疗保险患者急性心肌梗死（AMI）后急性后期服务使用（PASU）的差异。该队列中37%的患者在出院后30天内接受了急性后期服务，家庭医疗保健是最常用的服务类型。出院时患者的疾病严重程度、出院医院的营利性所有权以及出院医院提供家庭医疗服务被证明是急性后期服务使用的重要预测因素。然而，在对许多患者和医院特征进行调整后，急性后期服务使用的差异在各州之间仍然存在。
