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发布于:2018-3-9 10:39:14  访问:6 次 回复:0 篇
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See How Simply You Could Jump The C59 Wnt Hierarchy
The interquartile range for the percent of referrals covered by the top five providers spanned from 68.6% to 97.4% for SNFs and from 81.3% to 100% for HHAs. For both SNF and HHA referral networks, more than 10% of hospitals referred all their patients to just one provider. The size of hospital post-acute ALOX15 referral networks for routine providers varied across hospital characteristics [Table 2]. On average, hospitals with ��400 beds had larger referral networks than hospitals with <100 beds (30.4 vs. 15.5 providers, P<.001). The average network size was also larger for urban hospitals than rural hospitals (22.6 vs. 11.1 providers, P<.001) and for for-profit hospitals compared with government-owned hospitals and not-for-profit hospitals (23.7 vs. 18.3 providers, P<.001; 23.7 vs. 21.6 providers, P<.001). Teaching hospitals also had larger post-acute referral networks for routine providers than their non-teaching counterparts (33.5 vs. 20.4 providers, P<.001). Network concentration also varied by hospital characteristics. Compared to those with <100 beds, hospitals with �ݡ�400 beds referred, on average, a smaller fraction to their top five providers (61.7% vs. 91.1% of SNF referrals, P<.001; 81.6% vs. 92.0% of HHA referrals, P<.001). Teaching hospitals had less concentrated SNF referral networks than their non-teaching counterparts (58.1% vs. 83.1% of SNF referrals, P<.001). Both the size and concentration of hospital post-acute referral networks varied across Census regions and HRRs [Table 3]. The Midwest had the largest and least Selleck C59 wnt concentrated average SNF provider referral networks (14.1 providers, 75.3% of referrals covered by top five providers). Hospitals in the South had, on average, larger and less concentrated HHA provider referral networks (11.1 providers, 83.8% of referrals covered by top five providers). Hospitals located in HRRs within the lowest quartile of post-acute per capita spending had Saracatinib smaller referral networks (17.7 vs. 24.8 providers, P<.001). The top five providers also represented a larger proportion of referrals for hospitals in the lower quartile of post-acute per capita spending (84.3% vs. 80.8% of SNF referrals, P<.001, 93.6% vs. 79.1% of HHA referrals, P<.001). In our multivariate regression, after controlling for other observable covariates, the variation in network size and concentration associated with hospital and regional characteristics persists. Adjusting for all other covariates including size, teaching hospitals had a higher mean predicted network size relative to non-teaching hospitals (16.9 vs. 11.4 SNF providers, P<.001; 12.5 vs. 9.5 HHA providers, P<.001) [ Table 4]. For-profit hospitals showed a larger mean predicted network size than not-for-profit hospitals and government-owned hospitals (12.8 vs. 11.8 vs. 10.7 SNF providers, P<.01; 11.8 vs. 9.4 vs. 8.5 HHA providers, P<.001).
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