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ACO-Affiliated Hosp...
ACO-Affiliated Hospitals Reduced Rehospitalizations From Skilled Nursing Facilities Faster Than Other Hospitals
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- Winblad, Ulrika, 1968- (författare)
- Uppsala universitet,Hälso- och sjukvårdsforskning,Uppsala University,Health Services Research
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- Mor, Vincent (författare)
- Brown Univ, Sch Publ Hlth, Ctr Gerontol & Healthcare Res, Providence, RI 02912 USA.;Providence Vet Affairs Med Ctr, Providence, RI USA.
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- McHugh, John P. (författare)
- Columbia Univ, Mailman Sch Publ Hlth, Dept Hlth Policy & Management, New York, NY USA.
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- Rahman, Momotazur (författare)
- Brown Univ, Sch Publ Hlth, Dept Hlth Serv Policy & Practice, Providence, RI 02912 USA.
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(creator_code:org_t)
- PROJECT HOPE, 2017
- 2017
- Engelska.
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Ingår i: Health Affairs. - : PROJECT HOPE. - 0278-2715 .- 1544-5208. ; 36:1, s. 67-73
- Relaterad länk:
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https://europepmc.or...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Medicare's more than 420 accountable care organizations (ACOs) provide care for a considerable percentage of the elderly in the United States. One goal of ACOs is to improve care coordination and thereby decrease rates of rehospitalization. We examined whether ACO-affiliated hospitals were more effective than other hospitals in reducing rehospitalizations from skilled nursing facilities. We found a general reduction in rehospitalizations from 2007 to 2013, which suggests that all hospitals made efforts to reduce rehospitalizations. The ACO-affiliated hospitals, however, were able to reduce rehospitalizations more quickly than other hospitals. The reductions suggest that ACO-affiliated hospitals are either discharging to the nursing facilities more effectively compared to other hospitals or targeting at-risk patients better, or enhancing information sharing and communication between hospitals and skilled nursing facilities. Policy makers expect that reducing readmissions to hospitals will generate major savings and improve the quality of life for the frail elderly. However, further work is needed to investigate the precise mechanisms that underlie the reduction of readmissions among ACO-affiliated hospitals.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
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- ref (ämneskategori)
- art (ämneskategori)
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