Impact of Self-Care and Mobility on One or More Post-Acute Care Transitions

Chih Ying Li, Amol Karmarkar, Yong Fang Kuo, Allen Haas, Kenneth J. Ottenbacher

Research output: Contribution to journalArticle

Abstract

Objective: To investigate the association between functional status and post-acute care (PAC) transition(s). Methods: Secondary analysis of 2013–2014 Medicare data for individuals aged ≥66 years with stroke, lower extremity joint replacements, and hip/femur fracture discharged to one of three PAC settings (inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies). Functional scores were co-calibrated into a 0–100 scale across settings. Multilevel logistic regression was used to test the partition of variance (%) and the probability of PAC transition attributed to the functional score in the initial PAC setting. Results: Patients discharged to inpatient rehabilitation facilities with higher function were less likely to use additional PAC. Function level in an inpatient rehabilitation facility explained more of the variance in PAC transitions than function level while in a skilled nursing facility. Discussion: The function level affected PAC transitions more for those discharged to an inpatient rehabilitation facility than to a skilled nursing facility.

Original languageEnglish (US)
JournalJournal of aging and health
DOIs
StateAccepted/In press - Jan 1 2020

Keywords

  • aged
  • mobility limitation
  • self-care
  • subacute care
  • Transitional care

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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