Multilevel Comparisons of Hospital Discharge among Older Adults with a Fall-Related Hospitalization

被引：4

作者：

Towne, Samuel D., Jr. ^{[1
]}

Fair, Kayla ^{[2
]}

Smith, Matthew Lee ^{[1
,3
]}

Dowdy, Diane M. ^{[1
]}

Ahn, SangNam ^{[1
,4
]}

Nwaiwu, Obioma ^{[5
]}

Ory, Marcia G. ^{[6
]}

机构：

[1] Texas A&M Univ, Sch Publ Hlth, Dept Hlth Promot & Community Hlth Sci, 1266 TAMU, College Stn, TX 77843 USA

[2] Univ Texas Southwestern Med Ctr Dallas, Dept Psychiat, Ctr Depress Res & Clin Care, Dallas, TX 75390 USA

[3] Univ Georgia, Coll Publ Hlth, Dept Hlth Promot & Behav, Athens, GA 30602 USA

[4] Univ Memphis, Sch Publ Hlth, Div Hlth Syst Management & Policy, Memphis, TN 38152 USA

[5] Univ Arkansas Med Sci, Dept Family & Prevent Med, Little Rock, AR 72205 USA

[6] Texas A&M Univ, Sch Publ Hlth, Ctr Populat Hlth & Aging, College Stn, TX USA

来源：

HEALTH SERVICES RESEARCH | 2018年 / 53卷 / 04期

关键词：

Falls; hospital discharge; older adults; Medicare; TEXAS; CARE; RISK;

D O I：

10.1111/1475-6773.12763

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

ObjectiveWe examined multilevel factors associated with hospital discharge status among older adults suffering a fall-related hospitalization. Data SourcesThe 2011-2013 (n=131,978) Texas Inpatient Hospital Discharge Public-Use File was used. Study Design/MethodsMultilevel logistic regression analyses estimated the likelihood of being discharged to institutional settings versus home. Principal FindingsFactors associated with a greater likelihood of being discharged to institutional settings versus home/self-care included being female, white, older, having greater risk of mortality, receiving care in a non-teaching hospital, having Medicare (versus Private) coverage, and being admitted from a non-health care facility (versus clinical referral). ConclusionsUnderstanding risk factors for costly discharges to institutional settings enables targeted fall-prevention interventions with identification of at-risk groups and allows for identifying policy-related factors associated with discharge status.

引用

页码：2227 / 2248

页数：22

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