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. 2017 Sep 18;17(1):667.
doi: 10.1186/s12913-017-2620-6.

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

A Atramont  1 , I Bourdel-Marchasson  2 , D Bonnet-Zamponi  3   4 , I Tangre  5 , A Fagot-Campagna  1 , P Tuppin  6
Affiliations

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

A Atramont et al. BMC Health Serv Res. .

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.

Keywords: Disease status; Health insurance database; Healthcare use; Nursing home; Sniiram.

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Conflict of interest statement

Ethics approval and consent to participate

The study use an administrative database (SNIIRAM) used for refunds. Analyses of SNIIRAM data by CNAM-TS were performed with the permission of the CNIL (French data protection authority) and by decree.

Consent for publication

Not applicable.

Competing interest

The authors declare that they have no competing interest.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Selection of the study population from RESID-EHPAD and SNIIRAM databases
See this image and copyright information in PMC

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