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Titre : | Is Profit Status of Inpatient Rehabilitation Facilities Independently Associated With 30-Day Unplanned Hospital Readmission for Medicare Beneficiaries? (2018) |
Auteurs : | Chih-Ying Li ; Amol Karmarkar ; Yu-Li Lin |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 3, 2018) |
Article en page(s) : | p. 598-602 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Réadmission du patient ; Rééducation et réadaptation ; Soins de longue durée |
Mots-clés: | Long-term care ; Organizations ; Nonprofit ; Organisations sans but lucratif ; Organismes ; Patient readmission |
Résumé : |
Objective To investigate the effects of facility-level factors on 30-day unplanned risk-adjusted hospital readmission after discharge from inpatient rehabilitation facilities (IRFs). Design Study using 100% Medicare claims data, covering 269,306 discharges from 1094 IRFs between October 2010 and September 2011. Setting IRFs with at least 30 discharges. Participants A total number of 1094 IRFs (N=269,306) serving Medicare fee-for-service beneficiaries. Interventions Not applicable. Main Outcome Measures Risk-standardized readmission rate (RSRR) for 30-day hospital readmission. Results Profit status was the only provider-level IRF characteristic significantly associated with unplanned readmissions. For-profit IRFs had a significantly higher RSRR (13.26+0.51) than did nonprofit IRFs (13.15+0.47) (P<.001 after controlling for all other facility characteristics accreditation status because of its collinearity with type for-profit irfs had a point higher rsrr than did nonprofit and census region was the only significant region-level characteristic south showing highest regions iii test p=".005" both> Conclusions Our findings support the inclusion of profit status on the IRF Compare website (a platform including IRF comparators to indicate quality of services). For-profit IRFs had a higher RSRR than did nonprofit IRFs for Medicare beneficiaries. The South had a higher RSRR than did other regions. The RSRR difference between for-profit and nonprofit IRFs could be due to the combined effects of organizational and regional factors. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317311188 |