کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8941884 1645045 2018 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Trends in hospital-SNF relationships in the care of Medicare beneficiaries
موضوعات مرتبط
مهندسی و علوم پایه مهندسی کامپیوتر نرم افزارهای علوم کامپیوتر
پیش نمایش صفحه اول مقاله
Trends in hospital-SNF relationships in the care of Medicare beneficiaries
چکیده انگلیسی
Improving the value of post-acute care at skilled nursing facilities (SNFs) has become a Medicare policy priority. Anecdotally, hospitals have responded by formally acquiring or pursuing tighter informal connections with SNFs. We evaluated the trend in connections between US acute care hospitals and Medicare-certified SNFs between 2000 and 2013 using vertical integration and two novel network-based measures (number of SNF partners, and discharge concentration). Among 4441 hospitals and 17,215 SNFs, hospitals with weaker connections with SNFs were more often non-profit, major teaching hospitals with a larger number of discharges and beds. We found an apparent weakening of hospital-SNF connections over time for all three measures. Over one-third (39%) of hospitals were vertically integrated in 2000 compared to 8.2% in 2013. The number of SNF partners increased between 2000 and 2013, while hospitals' discharge concentration declined steadily. Additional work is needed to understand the implications of these trends.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Healthcare - Volume 6, Issue 3, September 2018, Pages 175-179
نویسندگان
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