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Factors associated with post-acute discharge location after hospital stay: a cross-sectional study from a Swiss hospital
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 4511109
Author(s) Zimmermann, Bettina M.; KonÚ, Insa; Rost, Michael; Leu, Agnes; Wangmo, Tenzin; Elger, Bernice S.
Author(s) at UniBasel Wangmo, Tenzin
Zimmermann, Bettina
Rost, Michael
KonÚ, Insa
Elger, Bernice Simone
Leu, Agnes
Year 2019
Title Factors associated with post-acute discharge location after hospital stay: a cross-sectional study from a Swiss hospital
Journal BMC Health Services Research
Volume 19
Number 1
Pages / Article-Number 289
Keywords Acute and transitional care; Diagnosis-related groups; Subacute care; Switzerland
Mesh terms Aged; Aged, 80 and over; Cross-Sectional Studies; Fee-for-Service Plans; Female; Humans; Inpatients; Insurance, Health; Male; Middle Aged; Patient Discharge, economics, statistics & numerical data; Reimbursement Mechanisms; Subacute Care, economics, organization & administration; Switzerland; Transitional Care, economics, organization & administration
Abstract In 2012, Switzerland introduced the diagnosis-related group hospital payment system. Fearing that vulnerable patients may be discharged early, Acute and Transitional Care (ATC) was introduced to address the nursing care of patients who no longer needed an acute hospital stay. ATC is more costly for patients when compared to other discharge options like rehabilitation while providing less rehabilitative services. This study investigates factors associated with the place of discharge for patients in need of care.; Data was collected from 660 medical records of inpatients 50 years and older of the municipal hospital Triemli in Zurich, Switzerland. We used stepwise logistic regression to identify factors associated with their discharge into ATC or rehabilitation.; Older patients with higher Delirium Observation Scale (DOS), lack of supplementary health insurance, resuscitation order and a lower social network were more likely to be discharged into ATC than rehabilitation.; The association of supplementary health insurance and social network with discharge into ATC or rehabilitation is problematic because patients that are already vulnerable from a financial and social perspective are potentially discharged into a more costly and less rehabilitative post-acute care facility.
Publisher BioMed Central
ISSN/ISBN 1472-6963
Full Text on edoc Available
Digital Object Identifier DOI 10.1186/s12913-019-4101-6
PubMed ID
Document type (ISI) Journal Article

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