Discharge Destination and Disparities in Postoperative Care

Burke and Ibrahim discuss about disparities in postoperative care. Approximately 1.3 million elective hip or knee replacement surgeries were performed in 2014 in the United States, a 2-fold increase from 2001, and projections indicate the demand for these operations will continue to increase as the...

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Bibliographic Details
Published in:JAMA : the journal of the American Medical Association 2018-04, Vol.319 (16), p.1653-1654
Main Authors: Burke, Robert E, Ibrahim, Said A
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement - rehabilitation
Government programs
Health care
Health disparities
Healthcare Disparities - ethnology
Hip
Humans
Joint replacement surgery
Knee
Medicare
Navigation behavior
Patient Discharge
Payments
Postoperative Care
Reforms
United States
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Summary:Burke and Ibrahim discuss about disparities in postoperative care. Approximately 1.3 million elective hip or knee replacement surgeries were performed in 2014 in the United States, a 2-fold increase from 2001, and projections indicate the demand for these operations will continue to increase as the population ages. The rapid growth in the volume of this procedure combined with high costs of care per episode have led to payment reform policies, such as Medicare’s Comprehensive Care for Joint Replacement model which bundles acute and post–acute care payments for patients undergoing joint replacement, with the goal to incentivize hospitals as well as clinicians and health care centers that provide post–acute care to improve the quality and coordination of care from initial hospitalization through recovery.
ISSN:0098-7484
1538-3598
DOI:10.1001/jama.2017.21884