Post-hospital home health care for Medicare patients.
Kane, Robert L
Date of Pub
Blewett, Lynn A; Burns, Risa; Chen, Qing; Finch, Michael; Moskowitz, Mark A
Medicare patients in five diagnosis-related groups (DRGs) associated with heavy use of post-hospital care discharged from
52 hospitals in 3 cities were followed up at 6 weeks, 6 months, and 1 year to determine the factors associated with their
being discharged home with or without home health care and the correlates of improvement in their functional status. Models
correctly predicted those discharged home from those going to institutions in a range from 54 to 82 percent of cases. The
amount of the variance in the change in function for those who went home (with or without home health care) explained by the
models tested ranged from 19 percent to 73 percent. Total Medicare costs for the patients who went home were considerably
less in the year subsequent to the hospitalization compared with those discharged to institutional care.
Activities of Daily Living : Aftercare/economics/statistics & numerical data/utilization : Aged : Data Collection : Diagnosis-Related
Groups : Female : Health Expenditures : Health Services Research : Home Care Services/economics/statistics & numerical data/utilization
: Human : Least-Squares Analysis : Logistic Models : Longitudinal Studies : Male : Medicare/statistics & numerical data/utilization
: Minnesota : Odds Ratio : Outcome Assessment (Health Care)/statistics & numerical data : Pennsylvania : Support, U.S. Gov't,
Non-P.H.S. : Texas : United States