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Do hospital-owned skilled nursing facilities provide better post-acute care quality?
- Source :
-
Journal of Health Economics . Dec2016, Vol. 50, p36-46. 11p. - Publication Year :
- 2016
-
Abstract
- As hospitals are increasingly held accountable for patients' post-discharge outcomes under new payment models, hospitals may choose to acquire skilled nursing facilities (SNFs) to better manage these outcomes. This raises the question of whether patients discharged to hospital-based SNFs have better outcomes. In unadjusted comparisons, hospital-based SNF patients have much lower Medicare utilization in the 180 days following discharge relative to freestanding SNF patients. We solved the problem of differential selection into hospital-based and freestanding SNFs by using differential distance from home to the nearest hospital with a SNF relative to the distance from home to the nearest hospital without a SNF as an instrument. We found that hospital-based SNF patients spent roughly 5 more days in the community and 6 fewer days in the SNF in the 180 days following their original hospital discharge with no significant effect on mortality or hospital readmission. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 01676296
- Volume :
- 50
- Database :
- Academic Search Index
- Journal :
- Journal of Health Economics
- Publication Type :
- Academic Journal
- Accession number :
- 119782143
- Full Text :
- https://doi.org/10.1016/j.jhealeco.2016.08.004