作者
Christopher M Callahan, Greg Arling, Wanzhu Tu, Marc B Rosenman, Steven R Counsell, Timothy E Stump, Hugh C Hendrie
发表日期
2012/5
期刊
Journal of the American Geriatrics Society
卷号
60
期号
5
页码范围
813-820
简介
Objectives
To describe transitions in care of persons with dementia with attention to nursing facility transitions.
Design
Prospective cohort.
Setting
Public health system.
Participants
Four thousand one hundred ninety‐seven community‐dwelling older adults.
Measurements
Participants’ electronic medical records were merged with Medicare claims, Medicaid claims, the Minimum Data Set (MDS), and the Outcome and Assessment Information Set (OASIS) from 2001 to 2008 with a mean follow‐up of 5.2 years from the time of enrollment.
Results
Older adults with prevalent (n = 524) or incident (n = 999) dementia had greater Medicare (44.7% vs 44.8% vs 11.4%, P < .001) and Medicaid (21.0% vs 16.8% vs 1.4%, P < .001) nursing facility use, greater hospital (76.2% vs 86.0% vs 51.2%, P < .001) and home health (55.7% vs 65.2% vs 27.3%, P < .001) use, more transitions in care per person‐year of follow‐up (2.6 …
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CM Callahan, G Arling, W Tu, MB Rosenman… - Journal of the American Geriatrics Society, 2012
