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Sensitivity of Nursing Home Cost Comparisons to Method of Dementia Diagnosis Ascertainment
Joint Authors
Kittner, Steven
May, Conrad
Zuckerman, Ilene H.
Boockvar, Kenneth S.
Quinn, Charlene C.
Stuart, Bruce
Magaziner, Jay
Hebel, J. Richard
Zimmerman, Sheryl
Gruber-Baldini, Ann L.
Hsu, Van Doren
Source
International Journal of Alzheimer's Disease
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-09-22
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
This study compared the association of differing methods of dementia ascertainment, derived from multiple sources, with nursing home (NH) estimates of prevalence of dementia, length of stay, and costs an understudied issue.
Subjects were 2050 new admissions to 59 Maryland NHs, from 1992 to 1995 followed longitudinally for 2 years.
Dementia was ascertained at admission from charts, Medicare claims, and expert panel.
Overall 59.5% of the sample had some indicator of dementia.
The expert panel found a higher prevalence of dementia (48.0%) than chart review (36.9%) or Medicare claims (38.6%).
Dementia cases had lower relative average per patient monthly costs, but longer NH length of stay compared to nondementia cases across all methods.
The prevalence of dementia varied widely by method of ascertainment, and there was only moderate agreement across methods.
However, lower costs for dementia among NH admissions are a robust finding across these methods.
American Psychological Association (APA)
Gruber-Baldini, Ann L.& Stuart, Bruce& Zuckerman, Ilene H.& Hsu, Van Doren& Boockvar, Kenneth S.& Zimmerman, Sheryl…[et al.]. 2009. Sensitivity of Nursing Home Cost Comparisons to Method of Dementia Diagnosis Ascertainment. International Journal of Alzheimer's Disease،Vol. 2009, no. 2009, pp.1-10.
https://search.emarefa.net/detail/BIM-497445
Modern Language Association (MLA)
Gruber-Baldini, Ann L.…[et al.]. Sensitivity of Nursing Home Cost Comparisons to Method of Dementia Diagnosis Ascertainment. International Journal of Alzheimer's Disease No. 2009 (2009), pp.1-10.
https://search.emarefa.net/detail/BIM-497445
American Medical Association (AMA)
Gruber-Baldini, Ann L.& Stuart, Bruce& Zuckerman, Ilene H.& Hsu, Van Doren& Boockvar, Kenneth S.& Zimmerman, Sheryl…[et al.]. Sensitivity of Nursing Home Cost Comparisons to Method of Dementia Diagnosis Ascertainment. International Journal of Alzheimer's Disease. 2009. Vol. 2009, no. 2009, pp.1-10.
https://search.emarefa.net/detail/BIM-497445
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497445