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J Appl Gerontol. 2018 Jan;37(1):26-40. doi: 10.1177/0733464816641393. Epub 2016 Apr 17.

Health Care Use Before and After Entering Long-Term Services and Supports.

Author information

1
1 University of California, San Francisco, CA, USA.

Abstract

OBJECTIVE:

We examined the health care utilization patterns of Medicare and Medicaid enrollees (MMEs) before and after initiating long-term care in the community or after admission to a nursing facility (NF).

METHOD:

We used administrative data to compare hospitalizations, emergency department (ED) visits, and post-acute care use of MMEs receiving long-term care in California in 2006-2007.

RESULTS:

MMEs admitted to a NF for long-term care had much greater use of hospitalizations, ED visits, and post-acute care before initiating long-term care than those entering long-term care in the community. Post-entry, community service users had less than half the average monthly hospital and ED use compared with the NF cohort.

CONCLUSION:

Hospital and ED use prior to and following NF and personal care program entry suggest a need for reassessing the monitoring of these high-risk populations and the communication between health and community care providers.

KEYWORDS:

emergency department use; home and community-based services; hospital use; nursing facilities; personal care

PMID:
27091879
DOI:
10.1177/0733464816641393
[Indexed for MEDLINE]

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