| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w24566 |
| 来源ID | Working Paper 24566 |
| The Effects of Home Health Visit Length on Hospital Readmission | |
| Elena Andreyeva; Guy David; Hummy Song | |
| 发表日期 | 2018-04-30 |
| 出版年 | 2018 |
| 语种 | 英语 |
| 摘要 | Home health care has experienced significant growth as an industry and is viewed as one of the avenues for achieving reductions in the cost and utilization of expensive downstream health care services. Using a novel dataset on home health care visits, this study quantifies the effects of reduced time spent with patients during a post-acute home health visit on hospital readmissions. We focus in particular on the subset of patients with conditions that are subject to penalty under the Hospital Readmission Reduction Program. Since both visit length and readmission risk are likely to be correlated with unobserved illness severity, we use the daily sequence of provider visits and deviation from the provider’s average daily workload as instruments for visit length. We find that patients who are visited later in the provider’s day as well as those who are visited by a provider who has a higher than usual workload experience home health visits that are shorter than usual. Using our instruments and controlling for patient, visit, and provider characteristics, we find that home health visits that are longer than usual by one minute reduce the risk of hospital readmission by approximately 8 percent. These effects seem to be driven by providers with higher levels of discretion in their time management and care provision. We suggest several approaches that managers could take to attain reductions in readmissions without incurring significant additional costs. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Labor Supply and Demand |
| URL | https://www.nber.org/papers/w24566 |
| 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/582239 |
| 推荐引用方式 GB/T 7714 | Elena Andreyeva,Guy David,Hummy Song. The Effects of Home Health Visit Length on Hospital Readmission. 2018. |
| 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 | ||
| w24566.pdf（510KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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