Variations in hospitalization rates among nursing home residents: The role of discretionary hospitalizations

Health Services Research

Volumn 38, Issue 4, 2003, Pages 1177-1206

  Carter, Mary W ^a  

^a WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Discretionary hospitalizations; Nursing home transfers

Indexed keywords

AGED; ARTICLE; ELDERLY CARE; FEMALE; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICAL DECISION MAKING; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; NURSING HOME; TREATMENT INDICATION;

AGED; AGED, 80 AND OVER; FEMALE; HEALTH SERVICES RESEARCH; HOSPITALIZATION; HUMANS; LOGISTIC MODELS; LONGITUDINAL STUDIES; MALE; MASSACHUSETTS; MEDICAID; MULTIVARIATE ANALYSIS; NURSING HOMES; ODDS RATIO; PATIENT ADMISSION; PATIENT TRANSFER; RISK FACTORS; UNITED STATES;

EID: 0042858389     PISSN: 00179124     EISSN: None     Source Type: Journal    
DOI: 10.1111/1475-6773.00169     Document Type: Article

References (31)

1. Allison, P. D. 1984. Event History Analysis: Regression for Longitudinal Event Data. Newbury Park, CA: Sage Publications.
2. Anderson, G. F., D. Lupu, N. Powe, S. Horn, S. Antebi, J. Whittle, and E. Steinberg. 1989. Payment Amount for Capitated System: Final Report. Report to HCFA, cooperative agreement no. 17-C-98990/3-01. Baltimore: Center for Hospital Finance and Management, John Hopkins University.
3. Ash, A., F. Porell, L. Gruenberg, E. Sawitz, and A. Beiser. 1989. "Adjusting Medicare Capitation Payments Using Prior Hospitalization Data." Health Care Financing Review 10 (4): 17-29.
4. Castle, N. G., and V. Mor. 1996. "Hospitalization of Nursing Home Residents: A Review of the Literature, 1980-1995." Medical Care Research and Review 53 (2): 123-48.
5. Chassin, M. R. 1993. "Explaining Geographic Variations: The Enthusiasm Hypothesis." Medical Care 31 (5): S37-44.
6. Creditor, M. C. 1993. "Hazards of Hospitalization of the Elderly." Annals of Internal Medicine 118 (3): 219-23.
7. Davis, M. A. 1991. "On Nursing Home Quality: A Review and Analysis." Medical Care 48 (2): 129-66.
8. Ellis, R. P., and A. Ash. 1988. Refining the Diagnostic Cost Group Model: A Proposed Modification to the AAPCC for HMO Reimbursement: Final Report. A report to HCFA, cooperative agreement no. 18-C-98526/1-03. Boston: Department of Economics and Health Care Research Unit, School of Medicine, Boston University.
9. -. 1995. "Refinements to the Diagnostic Cost Group Model (DCG)." Inquiry 32 (4): 418-29.
10. Fisher, E. S., J. E. Wennberg, T. A. Stukel, J. S. Skinner, and S. M. Sharp. 1994. "Hospital Readmission Rates for Cohorts of Medicare Beneficiaries in Boston and New Haven." New England Journal of Medicine 331 (15): 989-95.
11. Fisher, E. S., J. E. Wennberg, T. A. Stukel, J. S. Skinner, S. M. Sharp, J. L. Freeman, and A. M. Gittelsohn. 2000. "Associations among Hospital Capacity, Utilization, and Mortality of U.S. Medicare Beneficiaries, Controlling for Sociodemographic Factors." Health Services Research 34 (6): 1351-62.
12. Flanagan, S. A., M. Monane, A. Chawla, D, Schroeder, and S. Tillisch. 1997. Validation of Nursing Home Quality Indicators Study: Final Report. A report to HCFA, cooperative agreement no. 18-C-90090/01. Cambridge, MA: Medstat Group.
13. Freiman, M. P., and C. M. Murtaugh. 1993. "The Determinants of the Hospitalization of Nursing Home Residents." Journal of Health Economics 12 (3): 349-59.
14. Fried, T. R., and V. Mor. 1997. "Frailty and Hospitalization of Long-Term Nursing Home Residents." Journal of the American Geriatrics Society 45 (3): 265-9.
15. Harrington, C., H. Carrillo, S. C. Thollaug, and P. R. Summers. 1996. Nursing Facilities, Staffing, Residents, and Facility Deficiencies, 1991-1995. San Francisco, CA: Department of Social and Behavioral Sciences, School of Nursing, University of California.
16. Hawes, C., V. Mor, C. D. Phillips, B. E. Fries, J. N. Morris, E. Steele-Friedlob, A. M. Greene, and M. Nennstiel. 1997. "The OBRA-87 Nursing Home Regulations and Implementation of the Resident Assessment Instrument: Effects on Process Quality." Journal of the American Geriatrics Society 45 (8): 977-85.
17. Holtzman, J., and N. Lurie. 1996. "Causes of Increasing Mortality in a Nursing Home Population." Journal of the American Geriatrics Society 44 (3): 258-64.
18. Huber, P. J. 1981. Robust Statistics. New York: Wiley.
19. Intrator, O., N. G. Castle, and V. Mor. 1999. "Facility Characteristics Associated with Hospitalization of Nursing Home Residents: Results of a National Study." Medical Care 37 (3): 228-37.
20. Ouslander, Joseph G. 1989. "Medical Care in the Nursing Home." Journal of the American Medical Association 262 (18): 2582-90.
21. Paul-Shaheen, P., J. D. Clark, and D. Williams. 1987. "Small Area Analysis: A Review and Analysis of the North American Literature." Journal of Health Politics, Policy, and Law 12 (4): 741-808.
22. Porell, F. W. 1999. "Geographic Variations in Hospital Discharge Rates and Discretionary Hospital Use." Journal of Health Services Research and Policy 4 (3): 147-53.
23. Porell, F. W., F. G. Caro, A. Silva, and M. Monane. 1998. "Facility-Level Outcome Performance Measures for Nursing Homes." Health Services Research 38 (6): 665-83.
24. Roos, N. P., J. E. Wennberg, and K. McPherson. 1988. "Using Diagnosis-Related Groups for Studying Variations in Hospital Admissions." Health Care Financing Review 9 (4): 53-62.
25. Shaughnessy, P. W., A. M. Kramer, R. E. Schlenker, and M. B. Polesovsky. 1985. "Nursing Home Case-Mix Differences between Medicare and Non-Medicare and between Hospital-Based and Freestanding Patients." Inquiry 22 (2): 162-77.
26. Spector, W. D., T. M. Selden, and J. W. Cohen. 1998. "The Impact of Ownership Type on Nursing Home Outcomes." Health Economics 7 (7): 639-53.
27. Weinstein, B. E., L. I. Freedman, and M. L. Randle. 1995. Nursing Facilities in Massachusetts, 1989-1993. A Report of the Massachusetts Rate Setting Commission. MRSC publication no. 17682-93-500-2195-MRSC, pp. 1-93. Boston: Office of Communications, Division of Health Care Financing and Policy.
28. Wennberg, J. 2002. "Unwarranted Variations in Healthcare Delivery: Implications for Academic Medical Centres." British Medical Journal 325 (7370): 961-4.
29. Wennberg, J., B. Barnes, and M. Zubkoff. 1982. "Professional Uncertainty and the Problem of Supplier-Induced Demand." Social Science and Medicine 16 (7): 811-24.
30. Wennberg, J., and A. Gittelsohn. 1982. "Variations in Medical Care among Small Areas." Scientific American 246 (4): 120-34.
31. White, H. 1980. "A Heteroscedasticity-Consistent Covariance Matrix Estimator and Direct Test for Heteroscdasticity." Econometrica 48 (4): 817-38.