This study compares Medicare program charges through time for outpatient rehabilitation services across different types of institutional providers.
Observational study of Medicare Part B claims.
The analytic methods include a decomposition analysis and analysis of variance via regression.
Data come from six different institutional provider types : community hospital outpatient departments, rehabilitation hospital outpatient departments, skilled nursing facilities, independent rehabilitation agencies, comprehensive outpatient rehabilitation facilities, and home health agencies.
Five percent random sample of Medicare beneficiaries who used any institutionally based Part B physical, occupational, or speech therapy during the calendar years 1987 to 1990.
Charges for Medicare Part B rehabilitation therapies (physical and occupational therapy, speech pathology).
Charges for rehabilitation services grew more than 86% during this period across all provider types.
Both the likelihood of using rehabilitation services and the average annual charges per patient grew rapidly.
We found large differences in average annual per person charges and in the growth in charges across the six institutional provider types.
Analyses that controlled for patient demographic characteristics and diagnoses across five provider types did not explain observed differences.
Hospital outpatient departments were consis...
Mots-clés Pascal : Rééducation, Ambulatoire, Système institutionnel, Evolution, Croissance, Demande thérapeutique, Etats Unis, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Reeducation, Ambulatory, Institutional system, Evolution, Growth, Therapeutical request, United States, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0216541
Code Inist : 002B30A04A. Création : 199608.