Patient Outcomes in Alternative Long-Term Care Settings

摘要: The purpose of this study was to compare health status outcomes in three alternative long-term care settings the Veterans Administration: 1) home care; 2) community-based nursing and 3) hospital-based care. Patients were measured on a behavioral index status, at two points time: when transferred from acute hospital one treatment programs (pretest months later (posttest). Since patients could not be randomly distributed programs, methods employed control for potential sample selection bias: choice nonequivalent group design, multivariate analytic techniques. First, within each program type, selected both that offered only as provided all settings. Second, multiple regression analysis used pretest differences among patients. placed displayed greatest mean improvement functional holding other variables constant. This effect uniform, however; showed differential rates across based upon initial prognosis. As ACUTE BED COSTS have skyrocketed over past decade, policy makers private public sectors sought ways which them. One means constraining costs has been utilization: regulate who uses hospital, what purposes, how long. patient-the chronically ill patient stays longer than his medical condition warrants-has