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01.12.2017 | Research article | Ausgabe 1/2017 Open Access

BMC Health Services Research 1/2017

Impact of nursing home admission on health care use and disease status elderly dependent people one year before and one year after skilled nursing home admission based on 2012–2013 SNIIRAM data

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2017
Autoren:
A. Atramont, I. Bourdel-Marchasson, D. Bonnet-Zamponi, I. Tangre, A. Fagot-Campagna, P. Tuppin
Wichtige Hinweise

Electronic supplementary material

The online version of this article (10.​1186/​s12913-017-2620-6) contains supplementary material, which is available to authorized users.

Abstract

Background

The aim of this study was to compare disease status and health care use 1 year before and 1 year after skilled nursing home (SNH) admission.

Methods

People over the age of 65 years admitted to SNH during the first quarter of 2013, covered by the national health insurance general scheme (69% of the population of this age), and still alive 1 year after admission were identified (n = 14,487, mean age: 86 years, women: 76%). Their reimbursed health care was extracted from the Système National d’Information Interrégimes de l’Assurance Maladie (SNIIRAM) [National Health Insurance Information System].

Results

One year after nursing home admission, the most prevalent diseases were cardiovascular/neurovascular diseases and neurodegenerative diseases (affecting 45% and 40% of people before admission vs 51% and 53% after admission, respectively). Physical therapy use increased (43% vs 64% of people had at least one physical therapy session during the year, with an average of 47 vs 84 sessions/person during the year), while specialist consultations decreased (29% of people consulted an ophthalmologist at least once during the year before admission vs 25% after admission; 27% vs 21% consulted a cardiologist). Hospitalization rates were lower during the year following institutionalization (75% vs 40% of people were hospitalized at least once during the year), together with a lower emergency admission rate and a higher day admission rate.

Conclusions

Analysis of the new French reimbursement database specific to SNH shows that nursing home admission is associated with a reduction of some forms of outpatient care and hospitalizations.
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