Home health agency profit orientation and risk for hospitalization: a propensity score analysis of population weighted data.
Home Health Care Serv Q
; 27(3): 240-57, 2008.
Article
em En
| MEDLINE
| ID: mdl-19042239
ABSTRACT
Little recent research exists identifying home health agency (HHA) organizational characteristics that influence home health quality. This study evaluates the impact of HHA profit orientation on quality, measured as patient risk for hospitalization within 60 days of agency admission. Our sample (n = 1,304), from the National Home and Hospice Care Survey, comprised noninstitutionalized patients, 18 and older, including all payer types, discharged from free-standing HHAs. Our most deconfounded estimate, derived by propensity score adjusted, weighted polytomous logistic regression, yielded a for-profit hospitalization odds ratio of 1.31 but with a large confidence interval including unity. Results do not support our hypothesis of higher hospitalization risk for for-profit HHA patients.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
/
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Propriedade
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Qualidade da Assistência à Saúde
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Instituições Filantrópicas de Saúde
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Agências de Assistência Domiciliar
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Instituições Privadas de Saúde
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Hospitalização
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
/
Patient_preference
Limite:
Aged
/
Aged80
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Female
/
Humans
/
Male
Idioma:
En
Revista:
Home Health Care Serv Q
Ano de publicação:
2008
Tipo de documento:
Article