IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/199484101615-1620_9.html
   My bibliography  Save this article

Rates, patterns, causes, and costs of hospitalization of nursing home residents: A population-based study

Author

Listed:
  • Barker, W.H.
  • Zimmer, J.G.
  • Hall, W.J.
  • Ruff, B.C.
  • Freundlich, C.B.
  • Eggert, G.M.

Abstract

Objectives. Hospitalization of nursing home residents is a growing, poorly defined problem. The purposes of this study were to define rates, patterns, costs, and outcomes of hospitalizations from nursing homes and to consider implications for reducing this problem as part of health care reform. Methods. Communitywide nursing home utilization review and hospital discharge data were used to define retrospectively a cohort of 2120 patients newly admitted to nursing homes; these patients were followed for 2 years to identify all hospitalizations. Resident characteristics were analyzed for predictors of hospitalization. Charges and outcomes were compared with hospitalization of community-dwelling elders. Results. Hospitalization rates were strikingly higher for intermediate vs skilled levels of care (566 and 346 per 1000 resident years, respectively). Approximately 40% of all hospitalizations occurred within 3 months of admission. No strong predictors were identified. Length of stay, charges, and mortality rates were higher than for hospitalizations from the community. Conclusions. Hospitalizations from nursing homes are not easily predicted but may in large part be prevented through health care reforms that integrate acute and long-term care.

Suggested Citation

  • Barker, W.H. & Zimmer, J.G. & Hall, W.J. & Ruff, B.C. & Freundlich, C.B. & Eggert, G.M., 1994. "Rates, patterns, causes, and costs of hospitalization of nursing home residents: A population-based study," American Journal of Public Health, American Public Health Association, vol. 84(10), pages 1615-1620.
    • Handle: RePEc:aph:ajpbhl:1994:84:10:1615-1620_9
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:1994:84:10:1615-1620_9. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.