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老年患者的住院再入院率。

Hospital readmission among elderly patients.

机构信息

Department of Economics, University of Bergen, Bergen, Norway.

出版信息

Eur J Health Econ. 2013 Oct;14(5):809-20. doi: 10.1007/s10198-012-0426-3. Epub 2012 Sep 18.

Abstract

This study investigates the incidence and determinants of hospital readmissions among elderly patients in Norway. The analyses are based on registered data on inpatient admissions to public hospitals from 1999 to 2006. During this period, mean length of stay in hospital decreased, while readmission rates increased. Probit and instrumental variable regression models are applied for the analyses. The results indicate that longer length of stay in the hospital is associated with lower probability of readmission. A patient's age, comorbidities, and complexity of the treatment procedure are positively associated with readmissions, while higher number of diagnostic procedures negatively affects hospital readmission. Finally, patients discharged to institutions are more likely to be readmitted to the hospital.

摘要

本研究调查了挪威老年患者住院再入院的发生率和决定因素。分析基于 1999 年至 2006 年期间公立医院住院患者的登记数据。在此期间,住院时间的平均值缩短,而再入院率增加。分析采用概率和工具变量回归模型。结果表明,住院时间越长,再入院的可能性越低。患者的年龄、合并症和治疗程序的复杂性与再入院呈正相关,而诊断程序的数量增加则对住院再入院产生负面影响。最后,出院到医疗机构的患者更有可能再次入院。

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