Outcomes among orthopedic patients in skilled nursing facilities: does managed care make a difference?
The use of rehabilitative care has increased greatly. This study evaluates whether managed care affects health outcomes among Medicare orthopedic patients receiving rehabilitative treatments. Managed care versus fee-for-service patients had better outcomes at four months following discharge from skilled nursing facilities. It is important to address predictive factors, such as age, length of hospital stay, debilitation and social living arrangements, which can also influence health outcomes when planning rehabilitative treatment for older patients.
Leach
L S
LS
Department of Nursing, University of Southern California, Los Angeles, USA. LLeach@fullerton.edu
Yip
J Y
JY
Myrtle
R C
RC
Wilber
K H
KH
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D006299:Health Services for the Aged / Q000191:economics / Q000592:standards*; D006304:Health Status; D006801:Humans; D015141:Los Angeles; D008329:Managed Care Programs; D006278:Medicare / Q000191:economics / Q000592:standards; D009788:Occupational Therapy / Q000191:economics / Q000706:statistics & numerical data; D019637:Orthopedic Procedures / Q000534:rehabilitation*; D017063:Outcome Assessment, Health Care; D026741:Physical Therapy Modalities / Q000191:economics / Q000706:statistics & numerical data; D012046:Rehabilitation / Q000191:economics / Q000592:standards; D012866:Skilled Nursing Facilities / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D014481:United States