Health Care Use Before and After Entering Long-Term Services and Supports

Robert Newcomer, Charlene Harrington, Denis Hulett, Taewoon Kang, Michelle J Ko, Andrew Bindman

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

OBJECTIVE: We examined the health care utilization patterns of Medicare and Medicaid enrollees (MMEs) before and after initiating long-term care in the community or after admission to a nursing facility (NF).

METHOD: We used administrative data to compare hospitalizations, emergency department (ED) visits, and post-acute care use of MMEs receiving long-term care in California in 2006-2007.

RESULTS: MMEs admitted to a NF for long-term care had much greater use of hospitalizations, ED visits, and post-acute care before initiating long-term care than those entering long-term care in the community. Post-entry, community service users had less than half the average monthly hospital and ED use compared with the NF cohort.

CONCLUSION: Hospital and ED use prior to and following NF and personal care program entry suggest a need for reassessing the monitoring of these high-risk populations and the communication between health and community care providers.

Original languageEnglish (US)
Pages (from-to)26-40
Number of pages15
JournalJournal of applied gerontology : the official journal of the Southern Gerontological Society
Volume37
Issue number1
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

Fingerprint

Long-Term Care
Hospital Emergency Service
Delivery of Health Care
Medicaid
Subacute Care
Nursing
Medicare
Hospital Departments
Hospitalization
Patient Acceptance of Health Care
Social Welfare
Health Personnel
Communication
Population

Keywords

  • emergency department use
  • home and community-based services
  • hospital use
  • nursing facilities
  • personal care

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Health Care Use Before and After Entering Long-Term Services and Supports. / Newcomer, Robert; Harrington, Charlene; Hulett, Denis; Kang, Taewoon; Ko, Michelle J; Bindman, Andrew.

In: Journal of applied gerontology : the official journal of the Southern Gerontological Society, Vol. 37, No. 1, 01.01.2018, p. 26-40.

Research output: Contribution to journalArticle

Newcomer, Robert ; Harrington, Charlene ; Hulett, Denis ; Kang, Taewoon ; Ko, Michelle J ; Bindman, Andrew. / Health Care Use Before and After Entering Long-Term Services and Supports. In: Journal of applied gerontology : the official journal of the Southern Gerontological Society. 2018 ; Vol. 37, No. 1. pp. 26-40.
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