Lower Rehospitalization Rates among Rural Medicare Beneficiaries with Diabetes

Autor/inn/en	Bennett, Kevin J.; Probst, Janice C.; Vyavaharkar, Medha; Glover, Saundra H.
Titel	Lower Rehospitalization Rates among Rural Medicare Beneficiaries with Diabetes
Quelle	In: Journal of Rural Health, 28 (2012) 3, S.227-234 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2011.00399.x
Schlagwörter	Hospitals; Diabetes; Patients; Rural Areas; Counties; Multivariate Analysis; Computation; Factor Analysis; Rural Urban Differences; Access to Health Care; Policy; Influences + Suchen Sie Ihr Suchwort? Krankengymnast; Krankenhaus; Patient; Rural area; Ländlicher Raum; Multivariate Analyse; Faktorenanalyse; Stadt-Land-Beziehung; Politik; Influence; Einfluss; Einflussfaktor
Abstract	Purpose: We estimated the 30-day readmission rate of Medicare beneficiaries with diabetes, across levels of rurality. Methods: We merged the 2005 Medicare Chronic Conditions 5% sample data with the 2007 Area Resource File. The study population was delimited to those with diabetes and at least 1 hospitalization in the year. Unadjusted readmission rates were estimated across levels of rurality. Multivariate logistic regression estimated the factors associated with readmissions. Findings: Overall, 14.4% had a readmission; this was higher among urban (14.9%) than rural (12.9%) residents. The adjusted odds indicated that remote rural residents were less likely to have a readmission (OR 0.74, 0.57-0.95) than urban residents. Also, those with a 30-day physician follow-up visit were more likely to have a readmission (OR 2.25, 1.96-2.58) than those without a visit. Conclusion: The factors that contribute to hospital readmissions are complex; our findings indicate that access to follow-up care is highly associated with having a readmission. It is possible that residents of remote rural counties may not receive necessary readmissions due to lower availability of such follow-up care. Policy makers should continue to monitor this apparent disparity to determine the impact of these lower rates on both patients and hospitals alike. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10