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Effects of Institutional Services and Characteristics on Use of Postacute Care Settings

Author: WILLIAM BUCZKO
Published in JHHSA, Vol. 24 No. 1

Postacute care under Medicare may be provided in several institutional
settings, some of which function as substitutes for each other, including
rehabilitation care in either specialty hospitals and hospital units
excluded from Medicare PPS or skilled nursing facility care. This study
uses Medicare billing data to examine institution-based postacute care
utilization for beneficiaries' hospital episodes occurring from February 1,
1992 through June 30, 1992. Data on inpatient and postacute Part A
services used by Medicare inpatients receiving care in rehabilitation
facilities or skilled nursing facilities are presented. The results indicate
that, even after casemix is controlled for, inpatient stay treatment vari-
ables affect postacute care utilization patterns. Nonclinical factors such as
age and sex also affect choice of postacute care site.

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