Authors
Jennifer Meddings, Heidi Reichert, Shawna N Smith, Theodore J Iwashyna, Kenneth M Langa, Timothy P Hofer, Laurence F McMahon
Publication date
2017/1
Journal
Journal of general internal medicine
Volume
32
Pages
71-80
Publisher
Springer US
Description
Background
Readmission rates after pneumonia, heart failure, and acute myocardial infarction hospitalizations are risk-adjusted for age, gender, and medical comorbidities and used to penalize hospitals.
Objective
To assess the impact of disability and social determinants of health on condition-specific readmissions beyond current risk adjustment.
Design, Setting, and Participants
Retrospective cohort study of Medicare patients using 1) linked Health and Retirement Study-Medicare claims data (HRS-CMS) and 2) Healthcare Cost and Utilization Project State Inpatient Databases (Florida, Washington) linked with ZIP Code-level measures from the Census American Community Survey (ACS-HCUP). Multilevel logistic regression models assessed the impact of disability and selected social determinants of health on …
Scholar articles
J Meddings, H Reichert, SN Smith, TJ Iwashyna… - Journal of general internal medicine, 2017