Disposition at discharge and 60-day mortality among elderly people following shorter hospital stays: A population-based comparison

Cynthia Leibson, James M. Naessens, Iqbal Krishan, Mary E. Campion, David Ballard

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

This study examines whether shorter hospital stays following the introduction of Medicare's Prospective Payment System have been accompanied by increased mortality or an increased rate of discharge to nursing homes. An examination of hospitalizations for all elderly residents of Olmsted County, MN (N = 5,854) for 1980,1985, and 1987 demonstrates significant increases in 60-day mortality and nursing home transfers after this system began. These increases, however, are largely explained by differences in risk factors other than length of stay, such as patient age, gender, disease severity, and complexity.

Original languageEnglish (US)
Pages (from-to)316-322
Number of pages7
JournalGerontologist
Volume30
Issue number3
DOIs
StatePublished - Jun 1990

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Keywords

  • Diagnosis-related groups (DRGs)
  • Nursing homes
  • Prospective Payment
  • Quality of care
  • Transfers

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

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