养老院专业化对急性后护理的健康影响
Zachary S Templeton1, Nate C Apathy1, R Tamara Konetzka2
1University of Pennsylvania, USA.
Journal of health economics
|October 15, 2023
概括
针对急症后护理 (PAC) 患者的专业养老院减少了再入院和死亡率. 然而,这种专业化导致更长的养老院停留时间和医疗保险支出增加.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 卫生经济学 卫生经济学
背景情况:
- 养老院为长期居民和急症后护理 (PAC) 患者提供护理.
- 这些患者群体有着不同的护理需求和融资结构.
- 了解养老院专业化的影响对于优化护理和资源配置至关重要.
研究的目的:
- 实证地检查养老院专业化在急性后护理 (PAC) 的影响.
- 评估PAC专业化对医疗保险受益人患者治疗结果和医疗保健成本的影响.
- 为了解决专业养老院入院的潜在患者选择偏见.
主要方法:
- 利用了2011-2018年医疗保险患者在住院后入院养老院的数据.
- 采用工具变量方法来减轻选择偏差.
- 利用附近养老院的PAC专业化水平的地理和时间变化.
主要成果:
- 在具有更高PAC专业化的养老院的患者经历了医院再入院和死亡率的降低.
- 住院停留时间较长的病人被录取到专业设施.
- 医疗保险每次护理支出在专业养老院更高.
结论:
- 养老院对急性后护理 (PAC) 的专业化与改善患者的治疗结果有关,包括降低再入院和死亡率.
- 专业化导致医疗保健费用增加,以更长的停留时间和更高的医疗保险支出为准.
- 研究结果表明,在PAC专业化中,护理质量和成本效益之间存在权衡.
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