Causal Analysis Of The Impact Of Homecare Services On Patient Discharge Disposition

HOME HEALTH CARE SERVICES QUARTERLY(2019)

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摘要
This study uses observational causal inference to evaluate the impact of different combinations of home care services (nursing, therapies, social work, home aides) on end-of-episode disposition for individuals with chronic diseases associated with the circulatory, endocrine, and musculoskeletal systems. The potential to generate actionable recommendations for personalizing home care services, or treatment plans, from limited clinical and care needs data is demonstrated. For patients with chronic disease in the circulatory or musculoskeletal systems, a 2.91% and 3.38% decrease, respectively, in acute care hospitalization rates could be obtained by providing patients with therapy and nursing services, rather than therapy services alone.
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关键词
Quality of care, evaluation of services, service delivery, utilization, placementtransferand discharge, policies, policy analysis, chronic disease, causal inference modeling
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