The purpose of the study is to examine the rate of hospitalization of nursing home patients. Behavioral models used in the study are based on contingency theory and resource dependence theory. Data come from a sample of residents in 30 nursing homes in five states linked to Medicare claims data, On-line Survey of Certification Automated Records (OSCAR) and Area Resource File (ARF) data. The goal is to separate the proportion of explained variation in hospitalization rates that is due to market and facility factors from the portion explained by resident characteristics. Part of the analysis will focus on two potentially avoidable causes for hospitalization: dehydration and diabetics who are admitted with a primary admission diagnoses of hyperglycemia or hypoglycemia.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
First Independent Research Support & Transition (FIRST) Awards (R29)
Project #
3R29HD036414-03S1
Application #
6421052
Study Section
Health Systems Research (HSR)
Program Officer
Quatrano, Louis A
Project Start
1998-08-10
Project End
2003-05-31
Budget Start
2001-03-01
Budget End
2001-05-31
Support Year
3
Fiscal Year
2001
Total Cost
$26,852
Indirect Cost
Name
Johns Hopkins University
Department
Physiology
Type
Schools of Medicine
DUNS #
045911138
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Roth, Emily V; Pezzin, Liliana E; McGinley, Emily L et al. (2014) Prosthesis use and satisfaction among persons with dysvascular lower limb amputations across postacute care discharge settings. PM R 6:1128-36
Sauter, Carley N; Pezzin, Liliana E; Dillingham, Timothy R (2013) Functional outcomes of persons who underwent dysvascular lower extremity amputations: effect of postacute rehabilitation setting. Am J Phys Med Rehabil 92:287-96
Pezzin, Liliana E; Padalik, Sara E; Dillingham, Timothy R (2013) Effect of postacute rehabilitation setting on mental and emotional health among persons with dysvascular amputations. PM R 5:583-90
Dillingham, Timothy R; Yacub, Jennifer N; Pezzin, Liliana E (2011) Determinants of postacute care discharge destination after dysvascular lower limb amputation. PM R 3:336-44
Dillingham, Timothy R; Pezzin, Liliana E (2008) Rehabilitation setting and associated mortality and medical stability among persons with amputations. Arch Phys Med Rehabil 89:1038-45
Dillingham, Timothy R; Pezzin, Liliana E; Shore, Andrew D (2005) Reamputation, mortality, and health care costs among persons with dysvascular lower-limb amputations. Arch Phys Med Rehabil 86:480-6
Dillingham, Timothy R; Pezzin, Liliana E (2005) Postacute care services use for dysvascular amputees: a population-based study of Massachusetts. Am J Phys Med Rehabil 84:147-52
Dillingham, Timothy R; Pezzin, Liliana E; Mackenzie, Ellen J (2002) Racial differences in the incidence of limb loss secondary to peripheral vascular disease: a population-based study. Arch Phys Med Rehabil 83:1252-7