Dataset Information

Impact of In-Hospital Death on Spending for Bereaved Spouses.

ABSTRACT:

Objective

To examine how patients' location of death relates to health care utilization and spending for surviving spouses.

Data sources/study setting

Health and Retirement Study (HRS) 2000-2012 linked to the Dartmouth Atlas and Medicare claims data.

Study design

This was an observational study. We matched bereaved spouses whose spouses died in a hospital to those whose spouses died outside the hospital using propensity scores based on decedent and spouse demographic and clinical characteristics, care preferences, and regional practice patterns.

Data collection/extraction methods

We identified 1,348 HRS decedents with surviving spouses. We linked HRS data from each dyad with Medicare claims and regional characteristics.

Principal findings

In multivariable models, bereaved spouses of decedents who died in the hospital had $3,106 higher Medicare spending 12 months postdeath (p = .04) compared to those whose spouses died outside a hospital. Those surviving spouses were also significantly more likely to have an ED visit (OR = 1.5; p < .01) and hospital admission (OR = 1.4; p = .02) in the year after their spouse's in-hospital death. Increased Medicare spending for surviving spouses persisted through the 24-month period postdeath ($5,310; p = .02).

Conclusions

Bereaved spouses of decedents who died in the hospital had significantly greater Medicare spending and health care utilization themselves after their spouses' death.

SUBMITTER: Ornstein KA

PROVIDER: S-EPMC6056590 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Impact of In-Hospital Death on Spending for Bereaved Spouses.

Ornstein Katherine A KA Garrido Melissa M MM Siu Albert L AL Bollens-Lund Evan E Langa Kenneth M KM Kelley Amy S AS

Health services research 20180228

<h4>Objective</h4>To examine how patients' location of death relates to health care utilization and spending for surviving spouses.<h4>Data sources/study setting</h4>Health and Retirement Study (HRS) 2000-2012 linked to the Dartmouth Atlas and Medicare claims data.<h4>Study design</h4>This was an observational study. We matched bereaved spouses whose spouses died in a hospital to those whose spouses died outside the hospital using propensity scores based on decedent and spouse demographic and cl ...[more]

PMID: 29488621

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Dataset Information

Impact of In-Hospital Death on Spending for Bereaved Spouses.

Objective

Data sources/study setting

Study design

Data collection/extraction methods

Principal findings

Conclusions

Publications

Impact of In-Hospital Death on Spending for Bereaved Spouses.

Similar Datasets

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