Case-Mix Differences Between Hospital-Based and Freestanding Skilled Nursing FacilitiesA Review of the Evidence
作者:
Joshua Wiener,
Korbin Liu,
George Schieber,
期刊:
Medical Care
(OVID Available online 1986)
卷期:
Volume 24,
issue 12
页码: 1173-1182
ISSN:0025-7079
年代: 1986
出版商: OVID
关键词: nursing homes;case-mix differences;skilled nursing facilities
数据来源: OVID
摘要:
Many health care services are available in both hospital and freestanding settings. Hospital-based providers are usually much more expensive than freestanding providers. According to Medicare data, costs in hospital-based skilled nursing facilities (SNFs) are twice those of freestanding facilities. While critics charge that this is the result of inefficiency, hospitals counter that higher costs are caused by treatment of sicker patients and provision of higher-quality care. This paper analyzes the research on the case-mix differences between hospitalbased and freestanding SNFs. On the basis of this analysis, it appears that hospital-based facilities tend to serve more severely ill patients (i.e., have a more difficult case mix) than do freestanding facilities. Case-mix differences, however, appear to explain less than half of the cost differential between the two types of facilities.
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