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 language||English (US)|
|Number of pages||15|
|Journal||Journal of applied gerontology : the official journal of the Southern Gerontological Society|
|State||Published - Jan 1 2018|
- emergency department use
- home and community-based services
- hospital use
- nursing facilities
- personal care
ASJC Scopus subject areas
- Geriatrics and Gerontology