Factors associated with post-acute discharge location after hospital stay: a cross-sectional study from a Swiss hospital
Factors associated with post-acute discharge location after hospital stay: a cross-sectional study from a Swiss hospital (BMC Health Services Research).
In 2012, Switzerland introduced the diagnosis-related group hospital payment system. Fearing that vulnerable patients may be discharged early, Acute and Transitional Care (ATC) was introduced to address the nursing care of patients who no longer needed an acute
hospital stay. ATC is more costly for patients when compared to other discharge options like rehabilitation while providing less rehabilitative services. This study investigates factors associated with the place of discharge for patients in need of care.
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Conclusions
The association of supplementary health insurance and social network with
discharge into ATC or rehabilitation is problematic because patients that are
already vulnerable from a financial and social perspective are potentially
discharged into a more costly and less rehabilitative post-acute care
facility.
Quelle: BMC Health Services Research, 08.05.2019
