Postacute care outcomes in home health or skilled nursing facilities in patients with a diagnosis of dementia.

ABSTRACT:

Objective

To compare the outcomes of postacute care between home health (HH) and skilled nursing facilities (SNFs) following hospitalization among Medicare beneficiaries with a diagnosis of dementia.

Data sources

100% MedPAR data, Minimum Data Set, and Outcome and Assessment Information Set assessment data from January 1, 2015 to December 31, 2016.

Study design

Retrospective cohort analysis using an instrumental variable design to compare outcomes (30-day readmission and mortality, 100-day mortality) of HH versus SNF following acute hospitalization. We used the differential distance between patients' home and the closest HH agency and SNF to instrument for nonrandom allocation of patients.

Data collection/extraction methods

We identified hospital discharges fol

SUBMITTER: Burke RE 

PROVIDER: S-EPMC9108056 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature