Rahman, Momotazur
[VerfasserIn]
;
Grabowski, David C.
[Sonstige Person, Familie und Körperschaft];
Norton, Edward C.
[Sonstige Person, Familie und Körperschaft]National Bureau of Economic Research
Do Hospital-Owned Skilled Nursing Facilities Provide Better Post-Acute Care Quality?
Erschienen:
Cambridge, Mass: National Bureau of Economic Research, August 2016
Erschienen in:NBER working paper series ; no. w22515
Umfang:
1 Online-Ressource
Sprache:
Englisch
DOI:
10.3386/w22515
Identifikator:
Reproduktionsnotiz:
Hardcopy version available to institutional subscribers
Entstehung:
Anmerkungen:
Mode of access: World Wide Web
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Beschreibung:
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