农村医院关闭和养老院的结果
Emmaline Keesee1, Tyler Malone2, Susie Gurzenda2,3,4
1Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
概括
农村医院关闭并没有影响养老院占用率或居民健康评分. 然而,每年住院住院的病例在关闭后下降,这表明护理的潜在转变.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生政策 农村卫生政策
- 长期护理管理 长期护理管理
背景情况:
- 农村医院的关闭正在增加,影响了医疗保健的准入.
- 对长期护理部门的影响仍未得到充分研究.
- 这项研究调查了医院关闭与养老院结局之间的联系.
研究的目的:
- 模拟农村医院关闭与同一县内的养老院之间的关系.
- 探索养老院利用率和关闭后居民健康结果.
主要方法:
- 利用了CMS,LTCFocus和NC农村卫生研究计划的数据.
- 进行了2012-2019年关闭医院的差异分析.
主要成果:
- 没有发现对养老院占用率,医疗保险支付者组合或居民ADL得分有重大影响.
- 住院住院人数每年住院后下降了0.13 (SD变化为0.33).
- 医院住院减少的原因 (例如,新兴 vs 选择性) 尚不清楚.
结论:
- 医院关闭在农村后急性和长期护理方面发挥的作用还没有得到充分研究.
- 这是第一次研究医院关闭对养老院的影响.
- 鉴于农村医疗保健当前的劳动力和融资挑战,这些发现很重要.
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