Posthospitalization home health care use and changes in functional status in a medicare population

Medical Care

Volumn 38, Issue 5, 2000, Pages 494-507

  Hadley, Jack ^a,e   Rabin, David ^b   Epstein, Andrew ^c   Stein, Susan ^b   Rimes, Carolyn ^d  

^a GEORGETOWN UNIVERSITY   (United States)

^b GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d Health Care Financing Administration   (United States)

^e CENTER FOR STUDYING HEALTH SYSTEM CHANGE   (United States)

Author keywords

Change in functional status; Instrumental variable estimation; Posthospitalization home health care use

Indexed keywords

AGED; ARTICLE; COMPARATIVE STUDY; DAILY LIFE ACTIVITY; FEMALE; HEALTH SERVICE; HEALTH SURVEY; HOME CARE; HOSPITAL DISCHARGE; HUMAN; MALE; MEDICAID; MEDICARE; SOCIOECONOMICS; STATISTICAL MODEL; STATISTICS; TIME; UNITED STATES; UTILIZATION REVIEW;

ACTIVITIES OF DAILY LIVING; AGED; AGED, 80 AND OVER; FEMALE; HEALTH SERVICES NEEDS AND DEMAND; HEALTH STATUS INDICATORS; HOME CARE SERVICES; HUMANS; MALE; MEDICAID; MEDICARE; MODELS, ECONOMETRIC; PATIENT DISCHARGE; SOCIOECONOMIC FACTORS; TIME FACTORS; UNITED STATES;

EID: 0034185680     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-200005000-00006     Document Type: Article

References (35)

1. Medicare Payment Advisory Commission. Health care spending and the Medicare program: A data book. Washington DC: Medicare Payment Advisory Commission; 1998.
2. National Association for Home Care. Basic statistics about home care. May 25,1999. http://www.nahc.org/ consumer/hcstats.html.
3. An analysis of the president's budget proposals. Washington, DC: Congressional Budget Office; 1999.
4. Meckler L. Home health care plan hits snag. Associated Press. 1998. http://207.25.71.23/allpolitics/ stories/1998/10/13/home.health.care.ap.
5. Stearns SC, Kovar MG, Hayes K, Koch GG. Risk indicators for hospitalization during the last year of life. Health Serv Res 1996;31:49-69.
6. Williams B. Comparison of services among different types of home health agencies. Med Care 1994;32:1134-1152.
7. Schore J. Patient, agency, and area characteristics associated with regional variation in the use of Medicare home health services. Princeton, NJ: Mathematica Policy Research, Inc; 1994.
8. Schlenker RE, Shaughnessy PW, Hittle DF. Patient-level cost of home health care under capitated and FFS payment. Inquiry 1995;32:252-270.
9. Grossman M. The demand for health: A theoretical and empirical investigation. New York, NY: National Bureau of Economic Research; 1972.
10. Hadley J. More medical care, better health? Washington, DC: Urban Institute Press; 1982.
11. Hadley J. Medicare spending and mortality rates of the elderly. Inquiry 1988;25:485-493.
12. Health Care Financing Administration. Medicare current beneficiary survey: Survey overview. May 31, 1999. http://www.hcfa.gov/mcbs/overview.htm.
13. Kmenta J. Elements of econometrics. New York, NY: The Macmillan Co; 1971.
14. Kennedy P. A Guide to Econometrics. 4th ed. Cambridge, Mass: MIT Press; 1992.
15. McClellan M, McNeil BJ, Newhouse JP. Does more intensive treatment of acute myocardial infarction in the elderly reduce mortality: Analysis using instrumental variables. JAMA 1994;272:859-866.
16. Bound J, Jaeger JA, Baker RM. Problems with instrumental variable estimation when the correlation between the instruments and the endogenous explanatory variable is weak. J Am Stat Assoc 1995;90:443-450.
17. Staiger D, Stock JH. Instrumental variable regression with weak instruments. Econometrica 1997;65:557-586.
18. Greene WH. Econometric analysis. New York, NY: Macmillan Publishing Co; 1990:638-639.
19. Finch M, Kane RL, Philip I. Developing a new metric for ADLs. J Am Geriatr Soc 1995;43:877-884.
20. Kenney G, Rajan S. Interaction between the Medicare and Medicaid home care programs: Insights from states. Washington, DC: Urban Institute; July 1996.
21. Swan JH, Benjamin AE. Medicare home health utilization as a function of nursing home market factors. Health Serv Res 1990;25:479-500.
22. Cohen MA, Tumlinson A. Understanding the state variation in Medicare home health care. Med Care 1997;35:618-633.
23. Urban Institute. Assessing the new federalism: State database. April 1999. http://newfederalism. urban.org/nfdb/dataview.
24. Kenney GM, Dubay LC. Explaining area variation in the use of Medicare home health services. Med Care 1992;30:43-57.
25. Welch HG, Wennberg DE, Welch PW. The use of Medicare home health care services. N Engl J Med 1996;335:324-329.
26. Kenney GM. Is access to home health care a problem in rural areas? Am J Public Health 1993;83:412-414.
27. Hing E. Characteristics of elderly home health patients: Preliminary data from the 1992 National Home and Hospice Care Survey: Advance data from vital statistics, No. 247. Hyattsville, Md: National Center for Health Statistics; 1994.
28. US General Accounting Office. Medicare home health utilization expands while program controls deteriorate. Report to the Chairman, Special Committee on Aging. Washington, DC: US Senate; March 1996.
29. Kemper P. The use of formal and informal home care by the disabled elderly. Health Serv Res 1992;27:421-451.
30. Coughlin TA, McBride TD, Perozek M, Liu K. Home care for the disabled elderly: Predictors and expected costs. Health Serv Res 1992;27:455-479.
31. Steiner A, Neu CR. Monitoring the changes in use of Medicare posthospital services. RAND Corp/ UCLA/Harvard Center for Health Care Financing Policy Research; 1991.
32. Dey AN. Characteristics of elderly home health care users: Data from the 1996 National Home and Hospice Care Survey: Advance data from vital statistics, No. 279. Hyattsville, Md: National Center for Health Statistics; 1996.
33. National Center for Health Statistics. Vital and health statistics: Long-term care for the functionally dependent elderly (September). Washington, DC: US Department of Health and Human Services; 1990. NCHS series 12, No. 104.
34. Mauser E, Miller NA. A profile of home health users in 1992. Health Care Financing Rev 1994:16:17-33.
35. Feder J, Komisar H. Understanding the growth in the Medicare home health program. Palo Alto, Calif: Henry J. Kaiser Foundation; 1997.