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A Comparison of Free-Standing versus Co-Located Long-Term Acute Care Hospitals

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  • Jeremy M Kahn
  • Amber E Barnato
  • Judith R Lave
  • Francis Pike
  • Lisa A Weissfeld
  • Tri Q Le
  • Derek C Angus

Abstract

Background: Long-term acute care hospitals (LTACs) provide specialized treatment for patients with chronic critical illness. Increasingly LTACs are co-located within traditional short-stay hospitals rather than operated as free-standing facilities, which may affect LTAC utilization patterns and outcomes. Methods: We compared free-standing and co-located LTACs using 2005 data from the United States Centers for Medicare & Medicaid Services. We used bivariate analyses to examine patient characteristics and timing of LTAC transfer, and used propensity matching and multivariable regression to examine mortality, readmissions, and costs after transfer. Results: Of 379 LTACs in our sample, 192 (50.7%) were free-standing and 187 (49.3%) were co-located in a short-stay hospital. Co-located LTACs were smaller (median bed size: 34 vs. 66, p

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  • Jeremy M Kahn & Amber E Barnato & Judith R Lave & Francis Pike & Lisa A Weissfeld & Tri Q Le & Derek C Angus, 2015. "A Comparison of Free-Standing versus Co-Located Long-Term Acute Care Hospitals," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-13, October.
    • Handle: RePEc:plo:pone00:0139742
    DOI: 10.1371/journal.pone.0139742
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    References listed on IDEAS

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    1. Rajeev H. Dehejia & Sadek Wahba, 2002. "Propensity Score-Matching Methods For Nonexperimental Causal Studies," The Review of Economics and Statistics, MIT Press, vol. 84(1), pages 151-161, February.
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    1. Paul J. Eliason & Paul L. E. Grieco & Ryan C. McDevitt & James W. Roberts, 2018. "Strategic Patient Discharge: The Case of Long-Term Care Hospitals," American Economic Review, American Economic Association, vol. 108(11), pages 3232-3265, November.

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