Do Rural Medicare Patients Have Different Post-Acute Service Patterns Than Their Non-Rural Counterparts?

2.50
Hdl Handle:
http://hdl.handle.net/10755/161133
Type:
Presentation
Title:
Do Rural Medicare Patients Have Different Post-Acute Service Patterns Than Their Non-Rural Counterparts?
Abstract:
Do Rural Medicare Patients Have Different Post-Acute Service Patterns Than Their Non-Rural Counterparts?
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Boyer, Cindy, PhD, MSN, MA, RN
P.I. Institution Name:University of Minnesota
Title:Instructor
Contact Address:School of Nursing, 308 Harvard St SE, 5-160, Minneapolis, MN, 55455, USA
Contact Telephone:5073585290
An issue in Medicare redesign is whether beneficiaries have adequate
access to health services. Barriers to care exist for many rural residents
in the current system including hospital closures, fewer medical
professionals, and a lack of specialty services. The purpose of this
study: to determine if elderly rural patients, when controlling for
patient-specific characteristics and the structure and availability of
services, were more likely to experience different types of post-acute
care and clinical and functional outcomes than a comparable nonrural
population. The patient population (N=153)had undergone a primary hip
arthroplasty. Using a retrospective convenience sample, organized by an
adaptation of the Andersen model, patient characteristics were classified
as environmental (market and patient location) and patient/family
(predisposing, enabling, and need). The research questions proposed: 1. Is
there a direct relationship between resource consumption (type of
post-acute care received) and clinical/functional outcomes? 2. Is there a
direct relationship between patient/family characteristics and clinical
and functional outcomes? and 3. Do environmental factors moderate the
relationship between patient/family characteristics and resource
consumption? Research question 1, analyzed using analysis of covariance,
found no significant relationship between the type of post acute care
received and the patient outcome as measured by three dimensions of a
standardized hip score. Research question 2 was tested using bivariate
correlation and multiple regression: there was a negative correlation
between the need (per-operative hip score) factors and hospital LOS, and a
negative relationship between outcomes, as measured by the hip score, and
need factors. Regression analysis revealed no significant predictive
relationship except when examining the unadjusted hip score as the
dependent variable. Logistic regression was used in question 3: there was
no significant moderating effect. Variables influencing post-acute care
utilization: female gender and functional deficits. Conclusion: Patients
in rural locations were not significantly different than their non-rural
counterparts.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDo Rural Medicare Patients Have Different Post-Acute Service Patterns Than Their Non-Rural Counterparts?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/161133-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Do Rural Medicare Patients Have Different Post-Acute Service Patterns Than Their Non-Rural Counterparts?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Boyer, Cindy, PhD, MSN, MA, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Minnesota</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Instructor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 308 Harvard St SE, 5-160, Minneapolis, MN, 55455, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">5073585290</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cboyer@chartermi.net</td></tr><tr><td colspan="2" class="item-abstract">An issue in Medicare redesign is whether beneficiaries have adequate <br/> access to health services. Barriers to care exist for many rural residents <br/> in the current system including hospital closures, fewer medical <br/> professionals, and a lack of specialty services. The purpose of this <br/> study: to determine if elderly rural patients, when controlling for <br/> patient-specific characteristics and the structure and availability of <br/> services, were more likely to experience different types of post-acute <br/> care and clinical and functional outcomes than a comparable nonrural <br/> population. The patient population (N=153)had undergone a primary hip <br/> arthroplasty. Using a retrospective convenience sample, organized by an <br/> adaptation of the Andersen model, patient characteristics were classified <br/> as environmental (market and patient location) and patient/family <br/> (predisposing, enabling, and need). The research questions proposed: 1. Is <br/> there a direct relationship between resource consumption (type of <br/> post-acute care received) and clinical/functional outcomes? 2. Is there a <br/> direct relationship between patient/family characteristics and clinical <br/> and functional outcomes? and 3. Do environmental factors moderate the <br/> relationship between patient/family characteristics and resource <br/> consumption? Research question 1, analyzed using analysis of covariance, <br/> found no significant relationship between the type of post acute care <br/> received and the patient outcome as measured by three dimensions of a <br/> standardized hip score. Research question 2 was tested using bivariate <br/> correlation and multiple regression: there was a negative correlation <br/> between the need (per-operative hip score) factors and hospital LOS, and a <br/> negative relationship between outcomes, as measured by the hip score, and <br/> need factors. Regression analysis revealed no significant predictive <br/> relationship except when examining the unadjusted hip score as the <br/> dependent variable. Logistic regression was used in question 3: there was <br/> no significant moderating effect. Variables influencing post-acute care <br/> utilization: female gender and functional deficits. Conclusion: Patients <br/> in rural locations were not significantly different than their non-rural <br/> counterparts.</td></tr></table>en_GB
dc.date.available2011-10-26T23:16:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:16:26Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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