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Related Experiment Videos

Interactions between hospital and nursing home use

M P Freiman1, C M Murtaugh

  • 1Agency for Health Care Policy and Research, Rockville, MD 20852, USA.

Public Health Reports (Washington, D.C. : 1974)
|September 1, 1995
PubMed
Summary

Annually, over 800,000 elderly individuals transition from nursing homes to hospitals. This highlights the significant interaction between nursing home care and hospitalizations for older adults, impacting healthcare resource utilization.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Public Health

Background:

  • Understanding the interplay between nursing home care and hospital utilization is crucial for optimizing healthcare for the elderly.
  • Previous national estimates for this specific patient population were lacking.

Purpose of the Study:

  • To provide national estimates of hospitalizations involving elderly persons with nursing home use.
  • To describe patterns of interaction between nursing home stays and hospital admissions/discharges for individuals aged 65 and older.
  • To analyze the accuracy of Medicare hospital bill data regarding discharge destinations.

Main Methods:

  • Analysis of national Medicare hospital admission and discharge data from 1987.
  • Estimation of hospitalizations for elderly individuals with nursing home transfers (inpatient and discharge).

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  • Evaluation of underreporting of nursing home discharge destinations in Medicare billing data.

    • Main Results:

    • In 1987, 816,000 individuals aged 65+ were transferred from nursing homes to hospitals, representing 8.5% of Medicare hospital admissions.
    • An additional 347,000 hospital stays involved patients admitted from the community and discharged to a nursing home.
    • Medicare data likely underreported nursing home discharge destinations by 15-20%.

    Conclusions:

    • The substantial number of hospitalizations involving nursing home residents indicates that improvements in nursing home care could significantly reduce hospital days.
    • Further research is needed to understand the optimal utilization of hospital care for this demographic.
    • Accurate data on discharge destinations are essential for effective healthcare planning and policy development.