| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w22515 |
| 来源ID | Working Paper 22515 |
| Do Hospital-Owned Skilled Nursing Facilities Provide Better Post-Acute Care Quality? | |
| Momotazur Rahman; Edward C. Norton; David C. Grabowski | |
| 发表日期 | 2016-08-22 |
| 出版年 | 2016 |
| 语种 | 英语 |
| 摘要 | As hospitals are increasingly held accountable for patients' post-discharge outcomes under new payment models, hospitals may choose to acquire skilled nursing facilities (SNFs) to better manage these outcomes. This raises the question of whether patients discharged to hospital-based SNFs have better outcomes. In unadjusted comparisons, hospital-based SNF patients have much lower Medicare utilization in the 180 days following discharge relative to freestanding SNF patients. We solved the problem of differential selection into hospital-based and freestanding SNFs by using differential distance from home to the nearest hospital with a SNF relative to the distance from home to the nearest hospital without a SNF as an instrument. We found that hospital-based SNF patients spent roughly 5 more days in the community and 6 fewer days in the SNF in the 180 days following their original hospital discharge with no significant effect on mortality or hospital readmission. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w22515 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/580189 |
| 推荐引用方式 GB/T 7714 | Momotazur Rahman,Edward C. Norton,David C. Grabowski. Do Hospital-Owned Skilled Nursing Facilities Provide Better Post-Acute Care Quality?. 2016. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w22515.pdf（279KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。
