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DOI | 10.1177/0193945906286810 |
Risk factors for hospitalization among medicare home care patients | |
Fortinsky, Richard H.; Madigan, Elizabeth A.; Sheehan, T. Joseph; Tullai-McGuinness, Susan; Fenster, Juliane R. | |
通讯作者 | Fortinsky, Richard H. |
来源期刊 | WESTERN JOURNAL OF NURSING RESEARCH
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ISSN | 0193-9459 |
出版年 | 2006 |
卷号 | 28期号:8页码:902-917 |
英文摘要 | This study determined factors associated with an increased risk of ending Medicare home health care because of hospitalization and examined specific types of and reasons for hospitalization. Sample members (N = 922) were followed from admission to discharge as they received home care from Ohio Medicare-certified home care agencies between December 1999 and March 2002. Potential patient-level risk factors were predisposing, enabling, or need variables, and an agency-level variable denoting hospital affiliation or freestanding status was examined as a second-level risk factor. Among those hospitalized (18.3%), more than 80.0% experienced emergency hospitalizations, mostly for acute exacerbations of chronic diseases. Statistically significant risk factors for hospitalization included dyspnea severity, functional disability level, skin or wound problems, diabetes, case mix score, and guarded rehabilitation prognosis. Home care agencies might reduce hospitalizations by using clinical prognosis as a key resource for team communication and by helping patients and families anticipate potential acute exacerbations of chronic diseases and manage these events at home. |
英文关键词 | medicare home health care hospitalization rehospitalization OASIS data |
类型 | Article |
语种 | 英语 |
国家 | USA |
收录类别 | SCI-E ; SSCI |
WOS记录号 | WOS:000241952500002 |
WOS关键词 | ASSESSMENT INFORMATION SET ; HEALTH-CARE ; OUTCOMES ; ACCESS |
WOS类目 | Nursing |
WOS研究方向 | Nursing |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/153222 |
作者单位 | (1)Univ Connecticut, Ctr Hlth, Ctr Aging, Storrs, CT 06269 USA;(2)Case Western Reserve Univ, Frances Payne Bolton Sch Nursing, Cleveland, OH 44106 USA;(3)Univ Connecticut, Ctr Hlth, Dept Community Med & Hlth Care, Storrs, CT 06269 USA;(4)Univ Connecticut, Dept Psychol, Storrs, CT 06269 USA |
推荐引用方式 GB/T 7714 | Fortinsky, Richard H.,Madigan, Elizabeth A.,Sheehan, T. Joseph,et al. Risk factors for hospitalization among medicare home care patients[J],2006,28(8):902-917. |
APA | Fortinsky, Richard H.,Madigan, Elizabeth A.,Sheehan, T. Joseph,Tullai-McGuinness, Susan,&Fenster, Juliane R..(2006).Risk factors for hospitalization among medicare home care patients.WESTERN JOURNAL OF NURSING RESEARCH,28(8),902-917. |
MLA | Fortinsky, Richard H.,et al."Risk factors for hospitalization among medicare home care patients".WESTERN JOURNAL OF NURSING RESEARCH 28.8(2006):902-917. |
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