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The National Partnership to Improve Dementia Care and Hospital Readmission Among Skilled Nursing Facility Residents
Journal of Applied Gerontology ( IF 2.645 ) Pub Date : 2022-06-02 , DOI: 10.1177/07334648221102402
Sijiu Wang 1 , Helena Temkin-Greener 2 , Yeates Conwell 3 , Shubing Cai 2
Affiliation  

The National Partnership to Improve Dementia Care in Nursing Homes (i.e., the National Partnership) was launched in March 2012. Using national Medicare, Minimum Data Set, and Nursing Home Compare data in CY 2010–2014, we examined changes in hospital readmissions for older post-acute skilled nursing facility (SNF) residents with Alzheimer’s disease or related dementias (ADRD) following the National Partnership. Using residents without ADRD as reference group to control for concurrent policy and SNF quality changes, we estimated linear probability models to examine the relationship between readmissions and the National Partnership for residents with ADRD, and also stratified the analysis by quality of SNFs. We found a decreasing trend in hospital readmissions over time. The risk of readmissions in residents with ADRD decreased additional 0.3 percentage-points (p < .01) after the launch of the National Partnership. This relationship varied across SNFs with different quality, as it was stronger in high-quality compared to low-quality SNFs.



中文翻译:

全国伙伴关系,以改善熟练护理设施居民的痴呆症护理和医院再入院

改善疗养院痴呆症护理的全国伙伴关系(即全国伙伴关系)于 2012 年 3 月启动。使用 2010-2014 年的国家医疗保险、最低数据集和疗养院比较数据,我们检查了老年人再入院率的变化在国家伙伴关系之后,患有阿尔茨海默病或相关痴呆症 (ADRD) 的急性后熟练护理机构 (SNF) 居民。使用没有 ADRD 的居民作为参考组来控制并发的政策和 SNF 质量变化,我们估计了线性概率模型来检查再入院与 ADRD 居民的国家伙伴关系之间的关系,并且还按 SNF 的质量对分析进行了分层。我们发现随着时间的推移,再入院率呈下降趋势。ADRD 患者再入院的风险再降低 0。s (p < .01) 在全国伙伴关系启动后。这种关系在不同质量的 SNF 中有所不同,因为与低质量的 SNF 相比,高质量的 SNF 更强。

更新日期:2022-06-05
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