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Choosing the Best a...
Choosing the Best and Scrambling for the Rest: Hospital–Nursing Home Relationships and Admissions to Post-Acute Care
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- Shield, Renée (författare)
- Brown University, Providence, RI, USA
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- Winblad, Ulrika, 1968- (författare)
- Uppsala universitet,Hälso- och sjukvårdsforskning
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- McHugh, John (författare)
- Columbia University, New York, NY, USA
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- Gadbois, Emily (författare)
- Brown University, Providence, RI, USA
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- Tyler, Denise (författare)
- RTI International, Raleigh, NC, USA
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(creator_code:org_t)
- 2018-01-07
- 2019
- Engelska.
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Ingår i: Journal of Applied Gerontology. - : SAGE Publications. - 0733-4648 .- 1552-4523. ; 38:4, s. 479-498
- 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
Stäng
- Objective: We explored post-Affordable Care Act hospital and skilled nursing facility (SNF) perspectives in discharge and admission practices. Method: Interviews were conducted with 138 administrative personnel in 16 hospitals and 25 SNFs in eight U.S. markets and qualitatively analyzed. Results: Hospitals may use prior referral rates and patients' geographic proximity to SNFs to guide discharges. SNFs with higher hospital referral rates often use licensed nurses to screen patients to admit more preferred patients. While SNFs with lower hospital referral rates use marketing strategies to increase admissions, these patients are often less preferred due to lower reimbursement or complex care needs. Conclusion: An unintended consequence of increased hospital-SNF integration may be greater disparity. SNFs with high hospital referral rates may admit well-reimbursed or less medically complex patients than SNFs with lower referral rates. Without policy remediation, SNFs with lower referral rates may thus care for more medically complex long-term care patients.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- post-acute care
- qualitative and mixed methods
- impact of health care policy
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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