MARC details
| 000 -LEADER |
|---|
| fixed length control field |
03775nam a22005777a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
|---|
| fixed length control field |
150313s20142014 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
|---|
| International Standard Serial Number |
0002-8614 |
| 040 ## - CATALOGING SOURCE |
|---|
| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
|---|
| PMID |
25039690 |
| 245 ## - TITLE STATEMENT |
|---|
| Title |
Effects of home-based primary care on Medicare costs in high-risk elders. |
| 251 ## - Source |
|---|
| Source |
Journal of the American Geriatrics Society. 62(10):1825-31, 2014 Oct. |
| 252 ## - Abbreviated Source |
|---|
| Abbreviated source |
J Am Geriatr Soc. 62(10):1825-31, 2014 Oct. |
| 253 ## - Journal Name |
|---|
| Journal name |
Journal of the American Geriatrics Society |
| 266 ## - Date added to catalog |
|---|
| Date added to catalog |
2015-03-17 |
| 501 ## - WITH NOTE |
|---|
| Local holdings |
Available online from MWHC library: 1995 - 2000, then 2006-present, Available in print through MWHC library: 1999 - 2006 |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
CONCLUSION: HBPC reduces Medicare costs for ill elders, with similar survival outcomes in cases and controls.Copyright � 2014 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
DESIGN: Case-control concurrent study using Medicare administrative data. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
INTERVENTION: HBPC clinical service. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
MEASUREMENTS: Medicare costs, utilization events, mortality. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
OBJECTIVES: To determine the effect of home-based primary care (HBPC) on Medicare costs and mortality in frail elders. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
PARTICIPANTS: HBPC cases (n = 722) and controls (n = 2, 161) matched for sex, age bands, race, Medicare buy-in status (whether Medicaid covers Part B premiums), long-term nursing home status, cognitive impairment, and frailty. Cases were eligible if enrolled in MedStar Washington Hospital Center's HBPC program during 2004 to 2008. Controls were selected from Washington, District of Columbia, and urban counties in Virginia, Maryland, and Pennsylvania. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
RESULTS: Mean age was 83.7 for cases and 82.0 for controls (P < .001). A majority of both groups was female (77%) and African American (90%). During a mean 2-year follow-up, in univariate analysis, cases had lower Medicare ( |
| -- |
4, 455 vs |
| -- |
0, 977, P = .01), hospital ( |
| -- |
7, 805 vs |
| Source |
2, 096, P = .003), and skilled nursing facility care ( |
| -- |
, 821 vs |
| Linkage |
, 098, P = .001) costs, and higher home health ( |
| -- |
, 579 vs |
| -- |
, 169; P < .001) and hospice ( |
| Materials specified |
, 144 vs. |
| -- |
, 505; P = .005) costs. Cases had 23% fewer subspecialist visits (P = .001) and 105% more generalist visits (P < .001). In a multivariate model, cases had 17% lower Medicare costs, averaging |
| Field link and sequence number |
, 477 less per beneficiary (P = .003) over 2 years of follow-up. There was no difference between cases and controls in mortality (40% vs 36%, hazard ratio = 1.06, P = .44) or in average time to death (16.2 vs 16.8 months, P = .30). |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
SETTING: HBPC practice in Washington, District of Columbia. |
| 546 ## - LANGUAGE NOTE |
|---|
| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Frail Elderly |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Home Care Services/ec [Economics] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Medicare/ec [Economics] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Primary Health Care/ec [Economics] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Aged |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Aged, 80 and over |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Case-Control Studies |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Female |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Follow-Up Studies |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Male |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Mortality |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Multivariate Analysis |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
United States |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Urban Health Services/ec [Economics] |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
|---|
| Department |
Medicine/Geriatrics |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Journal Article |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Research Support, Non-U.S. Gov't |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Bruce, Stephanie |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
De Jonge, K Eric |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Jamshed, Namirah |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Taler, George |
| 790 ## - Authors |
|---|
| All authors |
Bruce SR, De Jonge KE, Gilden D, Jamshed N, Kubisiak J, Taler G |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| DOI |
<a href="http://dx.doi.org/10.1111/jgs.12974">http://dx.doi.org/10.1111/jgs.12974</a> |
| Public note |
http://dx.doi.org/10.1111/jgs.12974 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Journal article |
