PMID- 10128531
OWN - NLM
STAT- MEDLINE
DCOM- 19900412
LR  - 20181130
IS  - 0733-4648 (Print)
IS  - 0733-4648 (Linking)
VI  - 9
IP  - 1
DP  - 1990 Mar
TI  - Medicare DRGs and post-hospital care for the elderly: does out of the hospital 
      mean out of luck?
PG  - 20-35
AB  - This article reports findings from a multistate study of the effects of medical 
      cost containment policy, particularly the Medicare DRG (Diagnosis Related Groups) 
      reimbursement policy, on community-based services for the elderly. The study 
      findings reveal that since the implementation of DRGs, more older clients in 
      poorer states of health are seeking posthospital care services. Greater client 
      demand and illness acuity is leading to increases in service refusals to 
      vulnerable clients and the creation of agency waiting lists. The majority of 
      agency directors attribute the declining health status of clients to DRG 
      reimbursement.
FAU - Goldberg, S C
AU  - Goldberg SC
AD  - University of California, San Francisco.
FAU - Estes, C L
AU  - Estes CL
LA  - eng
GR  - T32 HS00026/HS/AHRQ HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Appl Gerontol
JT  - Journal of applied gerontology : the official journal of the Southern 
      Gerontological Society
JID - 8606502
MH  - Aftercare/*statistics & numerical data
MH  - Aged
MH  - Diagnosis-Related Groups/economics
MH  - Evaluation Studies as Topic
MH  - Health Services Needs and Demand/statistics & numerical data
MH  - Health Services for the Aged/*trends
MH  - Humans
MH  - Interviews as Topic
MH  - Medicare/*organization & administration
MH  - *Prospective Payment System
MH  - United States
MH  - Waiting Lists
EDAT- 1990/02/08 00:00
MHDA- 1990/02/08 00:01
CRDT- 1990/02/08 00:00
PHST- 1990/02/08 00:00 [pubmed]
PHST- 1990/02/08 00:01 [medline]
PHST- 1990/02/08 00:00 [entrez]
AID - 10.1177/073346489000900103 [doi]
PST - ppublish
SO  - J Appl Gerontol. 1990 Mar;9(1):20-35. doi: 10.1177/073346489000900103.