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Titre : | Geographic Region and Profit Status Drive Variation in Hospital Readmission Outcomes Among Inpatient Rehabilitation Facilities in the United States (2018) |
Auteurs : | Laura Coots Daras ; Melvin J. Ingber ; Anne Deutsch |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 6, 2018) |
Article en page(s) : | p. 1060-1066 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Réadmission du patient ; Rééducation et réadaptation ; Soins de suite |
Mots-clés: | Medicare ; Patient readmission ; Subacute care |
Résumé : |
Objective To examine whether there are differences in inpatient rehabilitation facilities' (IRFs') all-cause 30-day postdischarge hospital readmission rates vary by organizational characteristics and geographic regions. Design Observational study. Setting IRFs. Participants Medicare fee-for-service beneficiaries discharged from all IRFs nationally in 2013 and 2014 (N = 1166 IRFs). Interventions Not applicable. Main Outcome Measures We applied specifications for an existing quality measure adopted by Centers for Medicare & Medicaid Services for public reporting that assesses all-cause unplanned hospital readmission measure for 30 days postdischarge from inpatient rehabilitation. We estimated facility-level observed and risk-standardized readmission rates and then examined variation by several organizational characteristics (facility type, profit status, teaching status, proportion of low-income patients, size) and geographic factors (rural/urban, census division, state). Results IRFs mean risk-standardized hospital readmission rate was 13.00%+0.77%. After controlling for organizational characteristics and practice patterns, we found substantial variation in IRFs' readmission rates: for-profit IRFs had significantly higher readmission rates than did not-for-profit IRFs (P<.001 we also found geographic variation: irfs in the south atlantic and central census regions had highest hospital readmission rates than did new england that lowest rates.> Conclusions Our findings point to variation in quality of care as measured by risk-standardized hospital readmission rates after IRF discharge. Thus, monitoring of readmission outcomes is important to encourage quality improvement in discharge care planning, care transitions, and follow-up. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |