Home Health Agency Work Environments and Hospitalizations

Datos Bibliográficos

ID9101416
AutoresOlga Jarrín (0000-0002-3349-476X, University of Pennsylvania, autor de correspondencia), Linda Flynn (0000-0002-8659-748X, University of Colorado Anschutz Medical Campus), Eileen T Lake (0000-0002-8823-3436, University of Pennsylvania, autor de correspondencia), Linda H Aiken (0000-0001-8004-3630, University of Pennsylvania, autor de correspondencia)
Año2014
Volumen52
Número10
Páginas877-883
Fecha de publicación2014-10-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000188
PMID25215647
PMCIDPMC4174033
OpenAlexW1968253103
IdiomaEN
Citas recibidas2
Referencias citadas29

BACKGROUND: An important goal of home health care is to assist patients to remain in community living arrangements. Yet home care often fails to prevent hospitalizations and to facilitate discharges to community living, thus putting patients at risk of additional health challenges and increasing care costs. OBJECTIVES: To determine the relationship between home health agency work environments and agency-level rates of acute hospitalization and discharges to community living. METHODS AND DESIGN: Analysis of linked Center for Medicare and Medicaid Services Home Health Compare data and nurse survey data from 118 home health agencies. Robust regression models were used to estimate the effect of work environment ratings on between-agency variation in rates of acute hospitalization and community discharge. RESULTS: Home health agencies with good work environments had lower rates of acute hospitalizations and higher rates of patient discharges to community living arrangements compared with home health agencies with poor work environments. CONCLUSION: Improved work environments in home health agencies hold promise for optimizing patient outcomes and reducing use of expensive hospital and institutional care

Acute care · Agency (philosophy) · Business · Community health · Environmental health · Health care · Home health · Medicaid · Public health · Work (physics) · Geriatric Care and Nursing Homes · Medicine · Nursing · Nursing education and management · Workplace Health and Well-being · Gerontology