Abstract
Objective: We examined multilevel factors associated with hospital discharge status among older adults suffering a fall-related hospitalization. Data Sources: The 2011–2013 (n = 131,978) Texas Inpatient Hospital Discharge Public-Use File was used. Study Design/Methods: Multilevel logistic regression analyses estimated the likelihood of being discharged to institutional settings versus home. Principal Findings: Factors associated with a greater likelihood of being discharged to institutional settings versus home/self-care included being female, white, older, having greater risk of mortality, receiving care in a non-teaching hospital, having Medicare (versus Private) coverage, and being admitted from a non-health care facility (versus clinical referral). Conclusions: Understanding risk factors for costly discharges to institutional settings enables targeted fall-prevention interventions with identification of at-risk groups and allows for identifying policy-related factors associated with discharge status.
Original language | English (US) |
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Pages (from-to) | 2227-2248 |
Number of pages | 22 |
Journal | Health Services Research |
Volume | 53 |
Issue number | 4 |
DOIs | |
State | Published - Aug 2018 |
Keywords
- Falls
- Medicare
- hospital discharge
- older adults
ASJC Scopus subject areas
- Health Policy