Residential and Health Care Transition Patterns among Older Medicare Beneficiaries over Time

Autor/inn/en	Sato, Masayo; Shaffer, Thomas; Arbaje, Alicia I.; Zuckerman, Ilene H.
Titel	Residential and Health Care Transition Patterns among Older Medicare Beneficiaries over Time
Quelle	In: Gerontologist, 51 (2011) 2, S.170-178 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0016-9013
DOI	10.1093/geront/gnq105
Schlagwörter	Hospitals; Housing; Older Adults; Health Services; Residential Care; Health Insurance; Surveys; Nursing Homes; Comparative Analysis; Intervention + Suchen Sie Ihr Suchwort? Krankengymnast; Krankenhaus; Unterkunft; Älterer Erwachsener; Health service; Gesundheitsdienst; Gesundheitswesen; Krankenversicherung; Survey; Umfrage; Befragung; Sonderheim
Abstract	Purpose: To describe annual care transition patterns across residential and health care settings and assess consistency in care transition patterns across years. Design and Methods: This retrospective cohort study used the Medicare Current Beneficiary Survey (2000-2005). The sample comprised beneficiaries aged 65 years and older (N = 57,684 person-years of observation). We defined annual care transition patterns by combining 4 types of settings: C (community), F (facility), S (skilled nursing facility--SNF), and H (hospital). We compared weighted frequencies of transition patterns across years. We counted repeated/multiple transitions that involved movement into hospital and SNF settings and compared them by demographic characteristics. Results: Care transition patterns remained consistent from year to year. Approximately 22% of the study population experienced a transition annually. The most frequent transition pattern was transition to the hospital and back. Care transition patterns were enormously heterogeneous with more than 230 unique patterns; approximately 1 in 4 community-dwelling (23%) and most facility-dwelling (60%) beneficiaries with at least one transition had a unique transition pattern. Beneficiaries residing in a facility were more likely to undergo multiple transitions to hospitals and SNFs compared with community-dwelling beneficiaries. Implications: The study provides a description of annual care transition patterns across six years. Knowledge of the consistency of care transition patterns may serve as a baseline from which to compare future patterns and aid in designing interventions targeted at specific transitions. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10