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Outcomes among orthopedic patients in skilled nursing facilities: does managed care make a difference?
L S Leach1, J Y Yip, R C Myrtle
1Department of Nursing, University of Southern California, Los Angeles, USA. LLeach@fullerton.edu
The Journal of Nursing Administration
|December 1, 2001
Summary
Managed care plans improved health outcomes for Medicare orthopedic patients after skilled nursing facility discharge. Factors like age and social arrangements also impact rehabilitative care success.
Area of Science:
- Gerontology
- Health Services Research
- Rehabilitation Medicine
Background:
- Rehabilitative care utilization is increasing significantly.
- Understanding the impact of healthcare payment models on patient outcomes is crucial.
Purpose of the Study:
- To evaluate the effect of managed care on health outcomes in Medicare orthopedic patients undergoing rehabilitative treatment.
- To identify key predictive factors influencing rehabilitative outcomes in older adults.
Main Methods:
- Comparative analysis of health outcomes between managed care and fee-for-service patient groups.
- Retrospective review of Medicare orthopedic patients discharged from skilled nursing facilities.
Main Results:
- Patients under managed care demonstrated superior health outcomes at four months post-discharge compared to fee-for-service patients.
- Identified predictive factors include age, prior hospital stay duration, debilitation level, and social living situation.
Conclusions:
- Managed care may positively influence health outcomes for Medicare orthopedic patients in post-acute rehabilitation.
- Personalized rehabilitative treatment planning should incorporate patient-specific factors like age and social support for optimal results.