Institutional Affiliation: RAND
NBER Working Papers and Publications
|April 2004||How Much is Post-Acute Care Use Affected by Its Availability?|
with Melinda Beeuwkes Buntin, Anita Datar Garten, Susan Paddock, Mark Totten, Jose J. Escarce: w10424
To assess the relative impact of clinical factors versus non-clinical factors such as post acute care (PAC) supply - in determining whether patients receive care from skilled nursing facilities (SNFs) or inpatient rehabilitation facilities (IRFs) after discharge from acute care. Medicare acute hospital, IRF and SNF claims provided data on PAC choices; predictors of site of PAC chosen were generated from Medicare claims, provider of services, enrollment file, and Area Resource File data. We used multinomial logit models to predict post-acute care use by elderly patients after hospitalizations for stroke, hip fractures, or lower extremity joint replacements. A file was constructed linking Medicare acute and post-acute utilization data for all sample patients hospitalized in 1999. PAC...