Findings from University of Pennsylvania Provide New Insights into Medicare and Medicaid (The Association Between Activity Limitation Stages and Admission to Facilities Providing Long-term Care Among Older Medicare Beneficiaries)
By a News Reporter-Staff News Editor at Managed Care Weekly Digest Investigators discuss new findings in Medicare and Medicaid. According to news reporting from Philadelphia, Pennsylvania, by NewsRx journalists, research stated, "This study aimed to examine whether activity limitation stages are associated with admission to facilities providing long-term care (LTC). Cohort study using Medicare Current Beneficiary Survey data from the 2005-2009 entry panels."
The news correspondents obtained a quote from the research from the University of Pennsylvania, "A total of 14,580 community-dwelling Medicare beneficiaries 65 years or older were included. Proportional subhazard models examined associations between activity limitation stages and time to first LTC admission, adjusting for baseline sociodemographics and health conditions. The weighted annual rate of LTC admission was 1.1%. In the adjusted model, compared to activity of daily living (ADL) stage 0, the hazard ratios (95% confidence intervals [CIs]) were 2.0 (1.5-2.7), 3.9 (2.9-5.4), 3.6 (2.5-5.3), and 4.7 (2.5-9.0) for ADL stage I (mild limitation), ADL stage II (moderate limitation), ADL stage III (severe limitation), and ADL stage IV (complete limitation), respectively. Compared to instrumental ADL (IADL) stage 0, the hazard ratios, and 95% CIs for IADL stages I to IV were 2.0 (1.4-2.7), 3.7 (2.6-5.4), 4.6 (3.3-6.5), and 7.6 (4.6-12.3), respectively."
According to the news reporters, the research concluded: "Activity limitation stages are strongly associated with future admission to LTC and may therefore be useful in identifying specific supportive care needs among vulnerable older community-dwelling adults, which may reduce or the delay need for admission to LTC."
For more information on this research see: The Association Between Activity Limitation Stages and Admission to Facilities Providing Long-term Care Among Older Medicare Beneficiaries. American Journal of Physical Medicine & Rehabilitation, 2017;96(7):464-472. American Journal of Physical Medicine & Rehabilitation can be contacted at: Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA. (Lippincott Williams and Wilkins - www.lww.com; American Journal of Physical Medicine & Rehabilitation - journals.lww.com/ajpmr/pages/default.aspx)
Our news journalists report that additional information may be obtained by contacting J.E. Kurichi, University of Pennsylvania, Perelman Sch Med, Center Clin Epidemiol & Biostat, Dept. of Biostat & Epidemiol, Philadelphia, PA 19104, United States. Additional authors for this research include J.E. Streim, D.W. Xie, S. Hennessy, L. Na, D. Saliba, Q. Pan, P.L. Kwong and H.R. Bogner (see also Medicare and Medicaid).
Keywords for this news article include: Philadelphia, Pennsylvania, United States, North and Central America, Medicare and Medicaid, Health Policy, Medicare, University of Pennsylvania.
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