Transitions Through Postacute and Long-Term Care Settings

Patterns of Use and Outcomes for a National Cohort of Elders

Datos Bibliográficos

ID9101468
AutoresChristopher M Murtaugh (VNS Health, autor de correspondencia), Ann Litke
Año2002
Volumen40
Número3
Páginas227-236
Fecha de publicación2002-03-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200203000-00006
PMID11880795
OpenAlexW2065458915
IdiomaEN
Citas recibidas6
Referencias citadas24

OBJECTIVES: Despite the large number of elders using postacute and long-term care services, there is little information about transitions through different settings or the impact of transitions on elders' health. This gap in knowledge is addressed by analyzing the use of postacute and long-term care settings during a 2-year interval by a nationally representative cohort of elders. METHODS: A 2-year longitudinal record of the use of short-stay hospitals and postacute and long-term care settings was constructed for all respondents to the 1994 National Long Term Care Survey age 65 or older in 1992. Indicators of potential transition problems include emergency room visits, potentially avoidable hospital stays, and return to an institutional setting following discharge to the community. RESULTS: Almost 18% of elders, 4.9 million persons, were admitted to or discharged from a study setting between 1992 and 1994. A sizable number of these elders (22.4%) had subsequent health care use, suggesting a possible transition problem. Transitions from acute care hospitals to paid home care represent 20.8% of all transitions and are followed by relatively high rates of potential problems. CONCLUSIONS: This study provides new information on patterns of postacute and long-term care use and the types of transitions most likely to be followed by potential problems. The results suggest three broad strategies for improving the outcome of transitions through postacute and long-term care settings

Acute care · Cohort · Emergency department · Family medicine · Health care · Long-term care · Medical emergency · MEDLINE · Term (time) · Frailty in Older Adults · Geriatric Care and Nursing Homes · Heart Failure Treatment and Management · Medicine · Nursing · Gerontology