Key result
Hospitalization for hip fracture in 2005 was associated with a higher rate of discharge to inpatient rehabilitation compared to 2001 (23.9% vs 12.2%; OR 2.26, 95% CI 2.09-2.45).
Why the study?
Does the move from fee for service to prospective payment change the discharge setting for Medicare patients with hip fracture?
Observational (n=44,684)
Yes
Does the move from fee for service to prospective payment change the discharge setting for Medicare patients with hip fracture?
Odds Ratio: 2.26 (95% CI 2.09–2.45)
Absolute Event Rate: 23.9% vs 12.2%
The transition to prospective payment for postacute services was associated with a significant increase in the use of inpatient medical rehabilitation for Medicare patients with hip fractures.
No takes yet. Share an insight, caveat, or question.
Payment reform may have increased rehab discharges after hip fracture; leaves open effects on outcomes and costs.
Nguyen‐Oghalai et al. (2008) conducted an observational in Hip fracture (n=44,684). Hospitalization in 2005 (post-prospective payment) vs. Hospitalization in 2001 (pre-prospective payment) was evaluated on Discharge to inpatient medical rehabilitation (OR 2.26, 95% CI 2.09-2.45). Hospitalization for hip fracture in 2005 was associated with a higher rate of discharge to inpatient rehabilitation compared to 2001 (23.9% vs 12.2%; OR 2.26, 95% CI 2.09-2.45).
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: