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Cost of inpatient rehabilitation care in the Department of Veterans Affairs

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Author Info

  • Wagner, Todd H.
  • Richardson, Samuel S.
  • Vogel, Bruce
  • Wing, Kristen
  • Smith, Mark W.

Abstract

Abstract—We investigated the determinants of inpatient rehabilitation costs in the Department of Veterans Affairs (VA) and examined the relationship between length of stay (LOS) and discharge costs using data from VA and community rehabilitation hospitals. We estimated regression models to identify patient characteristics associated with specialized inpatient rehabilitation costs. VA data included 3,535 patients discharged from 63 facilities in fiscal year 2001. We compared VA costs to community rehabilitation hospitals using a sample from the Uniform Data System for Medical Rehabilitation of 190,112 patients discharged in 1999 from 697 facilities. LOS was a strong predictor of cost for VA and non-VA hospitals. Functional status, measured by Functional Independence Measure (FIM) scores at admission, was statistically significant but added little explanatory value after controlling for LOS. Although FIM scores were associated with LOS, FIM scores accounted for little variance in cost after controlling for LOS. These results are most applicable to researchers conducting cost-effectiveness analyses.

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Bibliographic Info

Paper provided by University Library of Munich, Germany in its series MPRA Paper with number 12042.

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Date of creation: Nov 2006
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Publication status: Published in Journal of Rehabilitation Research & Development 7.43(2006): pp. 929-938
Handle: RePEc:pra:mprapa:12042

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Related research

Keywords: average costs; billing; charges; cost; health economics; micro-cost methods; reimbursement; rehabilitation; VA; veterans;

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Cited by:
  1. Sutherland, Jason Murray & Walker, Jan, 2008. "Challenges of rehabilitation case mix measurement in Ontario hospitals," Health Policy, Elsevier, vol. 85(3), pages 336-348, March.

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