Nursing Home Discharges: The Results of an Incentive Reimbursement Experiment. Long-Term Care Studies Program Research Report.

Autor/inn/en	Jones, Brenda J.; Meiners, Mark R.
Institution	National Center for Health Services Research and Health Care Technology (DHHS/PHS), Rockville, MD.
Titel	Nursing Home Discharges: The Results of an Incentive Reimbursement Experiment. Long-Term Care Studies Program Research Report.
Quelle	(1986), (12 Seiten) PDF als Volltext kostenfreie Datei Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Monographie
Schlagwörter	Incentives; Medical Services; Nursing Homes; Older Adults; Patients + Suchen Sie Ihr Suchwort? Anreiz; Arzt; Sonderheim; Älterer Erwachsener; Patient
Abstract	With improvements in medical technology and an increase in life expectancy, there also has been a substantial increase in the number of individuals with chronic diseases. The chronically ill elderly, who absorb an ever-growing proportion of our public and private resources, are of particular concern. This study analyzes findings from a major demonstration and evaluation project which studied the consequences of using incentive payments to change admission and outcome patterns for Medicaid patients in nursing homes. Incentive payments were provided to encourage nursing homes to admit highly dependent Medicaid residents, to improve the nature of nursing home care by setting goals, and to encourage more appropriate discharges by encouraging institutions to provide case management service. The experiment was carried out in 36 proprietary, Medicaid-certified, skilled nursing homes in San Diego County, California, with a combined Medicaid inpatient census of about 3,600 residents. Homes were divided into control and treatment groups. Incentive payments offered to the treatment group were designed to achieve study objectives. Results of the discharge-incentive payments could not be clearly described in terms of success or failure. A high percentage of those with discharge plans were successfully discharged to a lower level of care. However, the facilities that participated tended to discharge to lower level of care institutional settings. The incentive payment system appeared to result in some facilities finding ways to overcome discharge barriers. (ABL)
Erfasst von	ERIC (Education Resources Information Center), Washington, DC