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Costs and outcomes of hip fracture and stroke, 1984 to 1994
F A Sloan1, D H Taylor, G Picone
1Center for Health Policy, Law and Management, Terry Sanford Institute of Public Policy, Duke University, Durham, NC 27708, USA. fsloan@hpolicy.duke.edu
Objectives:
This study quantified changes in Medicare payments and outcomes for hip fracture and stroke from 1984 to 1994.
Methods:
We studied National Long Term Care Survey respondents who were hospitalized for hip fracture (n = 887) or stroke (n = 878) occurring between 1984 and 1994. Changes in Medicare payment and survival were primary outcomes. We also assessed changes in functional and cognitive status.
Results:
Medicare payments within 6 months increased following hip fracture (103%) or stroke (51%). Survival improved for stroke (P < .001) and to a lesser extent for hip fracture (P = .16). Condition-specific improvements were found in functional and cognitive status.
Conclusions:
During the period 1984 to 1994, Medicare payments for hip fracture and stroke rose and there were some improvements in survival and other outcomes.
