The Revolving Door Of Rehospitalization From Skilled Nursing Facilities

被引：395

作者：

Mor, Vincent ^{[1
,2
]}

Intrator, Orna ^{[3
]}

Feng, Zhanlian

Grabowski, David C. ^{[4
]}

机构：

[1] Brown Univ, Dept Community Hlth, Warren Alpert Sch Med, Providence, RI 02912 USA

[2] Brown Univ, Ctr Gerontol & Hlth Care Res, Providence, RI 02912 USA

[3] Brown Univ, Div Biol & Med, Providence, RI 02912 USA

[4] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

来源：

HEALTH AFFAIRS | 2010年 / 29卷 / 01期

关键词：

CARE TRANSITIONS; HOME RESIDENTS; POSTHOSPITAL CARE; MEDICARE; QUALITY; PAYMENT; TRIAL;

D O I：

10.1377/hlthaff.2009.0629

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：

Almost one-fourth of Medicare beneficiaries discharged from the hospital to a skilled nursing facility were readmitted to the hospital within thirty days; this cost Medicare $4.34 billion in 2006. Especially in an elderly population, cycling into and out of hospitals can be emotionally upsetting and can increase the likelihood of medical errors related to care coordination. Payment incentives in Medicare do not encourage providers to coordinate beneficiaries' care. Revising these incentives could achieve major savings for providers and improved quality of life for beneficiaries.

引用

页码：57 / 64

页数：8

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