4.3 Article

Continuity of Care and Successful Hospital Discharge of Older Veterans With Dementia

期刊

JOURNAL OF APPLIED GERONTOLOGY
卷 41, 期 4, 页码 1035-1046

出版社

SAGE PUBLICATIONS INC
DOI: 10.1177/07334648211051867

关键词

dementia; continuity of care; successful hospital discharge; care transitions; VA healthcare system

资金

  1. University of Rochester Department of Public Health Sciences
  2. University of Rochester

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This study suggests that better continuity of care may have an impact on improving successful direct community discharge among patients with dementia, although the effect is small and the statistical significance rate is 6%.
Background Care transitions are frequent among patients with dementia. This study aimed to estimate the impact of continuity of care (COC) on successful community discharge after hospitalization. Methods National Veterans Health Administration data linked to Medicare claims in fiscal years 2014-2015. Community-dwelling older veterans with dementia with an acute hospitalization were included (n = 31,648). COC was measured by the Bice-Boxerman Continuity of Care (BBC) index (0-1). Association of COC before hospitalization on successful community discharge was examined separately among veterans discharged to the community directly and through post-acute care facilities. Results Veterans with a 0.1 higher BBC were 4.6% (p = .06) more likely to have successful direct community discharge; but BBC had no demonstrable effect when discharge was through post-acute care facilities. Conclusion Better COC may have impact at improving successful direct community discharge, although the effect is small and the type I error rate (statistical significance) was 6%.

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