Gozalo Pedro L, Inrator Orna, Phibbs Ciaran S, Kinosian Bruce, Allen Susan M
Research Health Scientist, U.S. Department of Veterans Affairs Medical Center, Center of Innovation in Long-Term Services and Supports, Providence, Rhode Island, USA.
Professor, Center for Gerontology and Health Care Research, Brown University School of Public Health, Providence, Rhode Island, USA.
J Aging Soc Policy. 2022 Sep 3;34(5):690-706. doi: 10.1080/08959420.2022.2111169. Epub 2022 Aug 12.
The Veterans Health Administration (VHA) long-term care rebalancing initiative encouraged VA Community Living Centers (CLCs) to shift from long-stay custodial-focused care to short-stay skilled and rehabilitative care. Using all VA CLC admissions during 2007-2010 categorized as needing short-stay rehabilitation or skilled nursing care, we assessed the patient and facility rates of successful discharge to the community (SDC) of these short-stay Veterans. We found large variation in inter- as well as intra- facility SDC rates across the rehabilitation and skilled nursing short-stay cohorts. We discuss how our results can help guide VHA policy directed at delivering high-quality short-stay CLC care for Veterans.
退伍军人健康管理局（VHA）的长期护理重新平衡倡议鼓励退伍军人事务部社区生活中心（CLC）从以长期监护为主的护理转向短期的专业和康复护理。我们利用2007年至2010年期间所有被归类为需要短期康复或专业护理的退伍军人事务部社区生活中心入院患者，评估了这些短期住院退伍军人成功出院返回社区（SDC）的患者和机构比例。我们发现，在康复和专业护理短期住院队列中，机构间以及机构内的成功出院返回社区比例存在很大差异。我们讨论了我们的研究结果如何有助于指导退伍军人健康管理局针对为退伍军人提供高质量短期社区生活中心护理的政策。
