How are the costs of care for medical falls distributed? The costs of medical falls by component of cost, timing, and injury severity

Gerontologist

Volumn 52, Issue 5, 2012, Pages 664-675

  Bohl, Alex A ^a,b   Phelan, Elizabeth A ^b   Fishman, Paul A ^b,c   Harris, Jeffrey R ^b  

^a MATHEMATICA POLICY RESEARCH   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

^c CENTER FOR HEALTH STUDIES   (United States)

Author keywords

Economics; Longitudinal analysis; Medicaid Medicare

Indexed keywords

AGE; AGED; ARTICLE; CASE CONTROL STUDY; ECONOMICS; FALLING; FEMALE; HEALTH CARE COST; HOSPITALIZATION; HUMAN; INJURY SCALE; INSURANCE; INTEGRATED HEALTH CARE SYSTEM; LONGITUDINAL STUDY; MALE; MEDICARE; REGRESSION ANALYSIS; STATISTICS; TIME; UNITED STATES;

ACCIDENTAL FALLS; AGE FACTORS; AGED; AGED, 80 AND OVER; CASE-CONTROL STUDIES; DELIVERY OF HEALTH CARE, INTEGRATED; FEMALE; HEALTH CARE COSTS; HOSPITALIZATION; HUMANS; INJURY SEVERITY SCORE; INSURANCE CLAIM REVIEW; LONGITUDINAL STUDIES; MALE; MEDICARE; REGRESSION ANALYSIS; TIME; UNITED STATES; WASHINGTON;

EID: 84867415949     PISSN: 00169013     EISSN: 17585341     Source Type: Journal    
DOI: 10.1093/geront/gnr151     Document Type: Article

References (38)

1. American Medical Association. (2011). Medicare preventive services: A new benefi t for patients and physicians. Putting prevention into practice. Retrieved October 1, 2011, from http :// www. ama - assn. org /ama1 / pub / upload / mm / 433 / cpt - medicare - ps. pdf
2. Baser, O., Crown, W. H., & Pollicino, C. (2006). Guidelines for selecting among different types of bootstraps. Current Medical Research and Opinion, 22, 799-808. doi:10.1185/030079906X100230
3. Bird, C. E., Shugarman, L. R., & Lynn, J. (2002). Age and gender differences in health care utilization and spending for medicare benefi ciaries in their last years of life. Journal of Palliative Medicine, 5, 705-712. doi:10.1089/109662102320880525
4. Blough, D. K., Madden, C. W., & Hornbrook, M. C. (1999). Modeling risk using generalized linear models. Journal of Health Economics, 18, 153-171. doi:S0167-6296(98)00032-0 [pii]
5. Bohl, A. A., Fishman, P. A., Ciol, M. A., Williams, B., Logerfo, J., & Phelan, E. A. (2010). A longitudinal analysis of total 3-year healthcare costs for older adults who experience a fall requiring medical care. Journal of the American Geriatrics Society, 58, 853-860. doi:JGS2816 [pii] 10.1111/j.1532-5415.2010.02816.x
6. Carroll, N. V., Slattum, P. W., & Cox, F. M. (2005). The cost of falls among the community-dwelling elderly. Journal of Managed Care Pharmacy, 11, 307-316. doi:2005(11)4: 307-316 [pii]
7. Carter, M. W., & Porell, F. W. (2011). The effect of sentinel injury on Medicare expenditures over time. Journal of the American Geriatrics Society, 59, 406-416. doi:10.1111/j.1532-5415.2010.03283.x
8. Diggle, P. J., Heagerty, P. J., Liang, K.-Y., & Zeger, S. (2002). Analysis of longitudinal data (2nd ed.). Oxford : Oxford University Press.
9. Finkelstein, E. A., Chen, H., Miller, T. R., Corso, P. S., & Stevens, J. A. (2005). A comparison of the case-control and case-crossover designs for estimating medical costs of nonfatal fall-related injuries among older Americans. Medical Care, 43, 1087-1091. doi:00005650-200511000-00004 [pii]
10. Fisher, E. S., Wennberg, D. E., Stukel, T. A., Gottlieb, D. J., Lucas, F. L., & Pinder, E. L. (2003). The implications of regional variations in Medicare spending. Part 1: The content, quality, and accessibility of care. Annals of Internal Medicine, 138, 273-287. doi:200302180-00006 [pii]
11. Fishman, P. A., Goodman, M. J., Hornbrook, M. C., Meenan, R. T., Bachman, D. J., & O'Keeffe Rosetti, M. C. (2003). Risk adjustment using automated ambulatory pharmacy data: The RxRisk model. Med Care, 41 (1), 84-99, doi:10.1097/01.MLR.0000039830.19812.29
12. Fishman, P. A., Thompson, E. E., Merikle, E., & Curry, S. J. (2006). Changes in health care costs before and after smoking cessation. Nicotine & Tobacco Research, 8, 393-401. doi:K577R477K710Q517 pii] 10.1080/ 14622200600670314
13. Fishman, P. A., Von Korff, M., Lozano, P., & Hecht, J. (1997). Chronic care costs in managed care. Health Affairs (Millwood), 16, 239-247.
14. Fishman, P. A., & Wagner, E. H. (1998). Managed care data and public health: The experience of Group Health Cooperative of Puget Sound. Annual Review of Public Health, 19, 477-491. doi:10.1146/annurev. publhealth.19.1.477
15. Fitzmaurice, G. M., Laird, N. M., & Ware, J. H. (2004). Applied longitudinal analysis. Hoboken, NJ : Wiley.
16. Fleischman, R. J., Adams, A. L., Hedges, J. R., Ma, O. J., Mullins, R. J., & Newgard, C. D. (2010). The optimum follow-up period for assessing mortality outcomes in injured older adults. Journal of American Geriatrics Society, 58, 1843-1849. doi:10.1111/j.1532-5415.2010.03065.x
17. Hardin, J. W., & Hilbe, J. M. (2003). Generalized estimating equations. Boca Raton, FL : Chapman & Hall/CRC.
18. Hausdorff, J. M., Rios, D. A., & Edelberg, H. K. (2001). Gait variability and fall risk in community-living older adults: A 1-year prospective study. Archives of Physical Medicine and Rehabilitation, 82, 1050-1056. doi:S0003-9993(01)63215-5 [pii] 10.1053/apmr.2001.24893
19. Hill, A. M., Hoffmann, T., Beer, C., McPhail, S., Hill, K. D., & Oliver, D. (2011). Falls after discharge from hospital: Is there a gap between older peoples' knowledge about falls prevention strategies and the research evidence? The Gerontologist, 51, 653-662. doi:gnr052 [pii] 10.1093/geront/gnr052
20. Honeycutt, A. A., Segel, J. E., Hoerger, T. J., & Finkelstein, E. A. (2009). Comparing cost-of-illness estimates from alternative approaches: An application to diabetes. Health Services Research, 44, 303-320. doi:HESR909 [pii] 10.1111/j.1475-6773.2008.00909.x
21. Hornbrook, M. C., Stevens, V. J., Wingfi eld, D. J., Hollis, J. F., Greenlick, M. R., & Ory, M. G. (1994). Preventing falls among community-dwelling older persons: Results from a randomized trial. The Gerontologist, 34, 16-23.
22. Kaiser Family Foundation Website. (2011). Medicaid and long-term care services and supports. Retrieved October 17, 2011, from http :// www. kff. org / medicaid / upload / 2186 - 08. pdf
23. Manning, W. G., & Mullahy, J. (2001). Estimating log models: To transform or not to transform? Journal of Health Economics, 20, 461-494. doi:S0167629601000868 [pii]
24. Masud, T., & Morris, R. O. (2001). Epidemiology of falls. Age and Ageing, 30 (Suppl. 4), 3-7.
25. Rizzo, J. A., Baker, D. I., McAvay, G., & Tinetti, M. E. (1996). The costeffectiveness of a multifactorial targeted prevention program for falls among community elderly persons. Medical Care, 34, 954-969.
26. Rizzo, J. A., Friedkin, R., Williams, C. S., Nabors, J., Acampora, D., & Tinetti, M. E. (1998). Health care utilization and costs in a Medicare population by fall status. Medical Care, 36, 1174-1188.
27. Roudsari, B. S., Ebel, B. E., Corso, P. S., Molinari, N. A., & Koepsell, T. D. (2005). The acute medical care costs of fall-related injuries among the US older adults. Injury, 36, 1316-1322. doi:S0020-1383(05)00174-9 [pii] 10.1016/j.injury.2005.05.024
28. Shumway-Cook, A., Ciol, M. A., Hoffman, J., Dudgeon, B. J., Yorkston, K., & Chan, L. (2009). Falls in the Medicare population: Incidence, associated factors, and impact on health care. Physical Therapy, 89, 324-332. doi:ptj.20070107 [pii] 10.2522/ptj.20070107
29. Sleet, D. A., Moffett, D. B., & Stevens, J. (2008). CDC's research portfolio in older adult fall prevention: A review of progress, 1985-2005, and future research directions. Journal of Safety Research, 39, 259-267. doi:S0022-4375(08)00074-1 [pii] 10.1016/j.jsr.2008.05.003
30. Stevens, J. A., Corso, P. S., Finkelstein, E. A., & Miller, T. R. (2006). The costs of fatal and non-fatal falls among older adults. Injury Prevention, 12, 290-295. doi:12/5/290 [pii] 10.1136/ip.2005.011015
31. Stevens, J. A., Mack, K. A., Paulozzi, L. J., & Ballesteros, M. F. (2008). Self-reported falls and fall-related injuries among persons aged > or =65 years - United States, 2006. Journal of Safety Research, 39, 345-349. doi:S0022-4375(08)00073-X [pii] 10.1016/j.jsr.2008.05.002
32. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. Journal of the American Geriatrics Society, 59, 148-157. doi:10.1111/j.1532- 5415.2010.03234.x
33. Tinetti, M. E., Baker, D. I., King, M., Gottschalk, M., Murphy, T. E., & Acampora, D. (2008). Effect of dissemination of evidence in reducing injuries from falls. New England Journal of Medicine, 359, 252-261. doi:359/3/252 [pii] 10.1056/NEJMoa0801748
34. Tinetti, M. E., Baker, D. I., McAvay, G., Claus, E. B., Garrett, P., & Gottschalk, M. (1994). A multifactorial intervention to reduce the risk of falling among elderly people living in the community. New England Journal of Medicine, 331, 821-827.
35. Tinetti, M. E., Doucette, J., Claus, E., & Marottoli, R. (1995). Risk factors for serious injury during falls by older persons in the community. Journal of the American Geriatrics Society, 43, 1214-1221.
36. Tinetti, M. E., Speechley, M., & Ginter, S. F. (1988). Risk factors for falls among elderly persons living in the community. New England Journal of Medicine, 319, 1701-1707. doi:10.1056/NEJM198812293192604
37. Tinetti, M. E., & Williams, C. S. (1997). Falls, injuries due to falls, and the risk of admission to a nursing home. New England Journal of Medicine, 337, 1279-1284. doi:10.1056/NEJM199710303371806
38. Wenger, N. S., Solomon, D. H., Roth, C. P., MacLean, C. H., Saliba, D., & Kamberg, C. J. (2003). The quality of medical care provided to vulnerable community-dwelling older patients. Annals of Internal Medicine, 139, 740-747. doi:139/9/740 [pii]