Exploring cost trajectories of patients admitted to geriatric rehabilitation in the Netherlands.
Objective Geriatric rehabilitation (GR) is an essential component of transitional care. However, insight into longitudinal care use and related costs is limited. This study mapped GR trajectories over a six-month period, identified latent groups with similar cost patterns and examined patient-level...
| Publicado en: | Age & Ageing Vol. 55; no. 3; pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Mar2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192797127&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192797127 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Mar2026 vid: 55 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192797127 10.1093/ageing/afag058 ppf: 1 ppct: 11 formats: tig: atl: Exploring cost trajectories of patients admitted to geriatric rehabilitation in the Netherlands. aug: au: Preitschopf, Astrid D Kroeze, Eline D Pol, Margriet C Holstege, Marije S Buurman, Bianca M affil: Department of Medicine for Older People, Amsterdam UMC Location VUmc, Amsterdam, The NetherlandsResearch, Omring, Hoorn, The NetherlandsAging & Later Life, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands Department of Medicine for Older People, Amsterdam UMC Location VUmc, Amsterdam, The NetherlandsAging & Later Life, Amsterdam Public Health Research Institute, Amsterdam, The NetherlandsDepartment Internal Medicine, Section Geriatric Medicine, Amsterdam UMC Location AMC, Amsterdam, The Netherlands Department of Medicine for Older People, Amsterdam UMC Location VUmc, Amsterdam, The NetherlandsAging & Later Life, Amsterdam Public Health Research Institute, Amsterdam, The NetherlandsResearch Group Occupational Therapy: Technology and Participation, Faculty of Health, Centre of Expertise Urban Vitality, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands Research, Omring, Hoorn, The NetherlandsResearch Group Geriatric Rehabilitation, Centre of Expertise Prevention in Health and Social Care, Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, NH, The NetherlandsResearch, De Zorgcirkel, Purmerend, The Netherlands su: Netherlands Patients Hospital admission & discharge Retrospective studies Geriatric rehabilitation Nursing care facilities Medical care costs Patient readmissions Logistic regression analysis Longitudinal method Odds ratio Confidence intervals Length of stay in hospitals Time sug: subj: Patients Hospital admission & discharge Retrospective studies Geriatric rehabilitation Nursing care facilities Medical care costs Netherlands Nursing Care Facilities (Skilled Nursing Facilities) Community care facilities for the elderly Patient readmissions Logistic regression analysis Longitudinal method Odds ratio Confidence intervals Length of stay in hospitals Time keyword: aging copyrightHolder:British Geriatrics Society copyrightYear:2026 cost trajectories descriptive statistics geriatric rehabilitation geriatrics group-based trajectory modelling health claims data hospital care https://dx.doi.org/10.1093/ageing/afag058 inLanguage:en long-term care netherlands nursing homes older adult older people publisher:Oxford University Press rehabilitation sameAs:https://pubmed.ncbi.nlm.nih.gov/41874965/ aging copyrightHolder:British Geriatrics Society copyrightYear:2026 cost trajectories descriptive statistics geriatric rehabilitation geriatrics group-based trajectory modelling health claims data hospital care https://dx.doi.org/10.1093/ageing/afag058 inLanguage:en long-term care netherlands nursing homes older adult older people publisher:Oxford University Press rehabilitation sameAs:https://pubmed.ncbi.nlm.nih.gov/41874965/ ab: Objective Geriatric rehabilitation (GR) is an essential component of transitional care. However, insight into longitudinal care use and related costs is limited. This study mapped GR trajectories over a six-month period, identified latent groups with similar cost patterns and examined patient-level cost drivers. Method We analysed administrative claims data from Statistics Netherlands, focusing on total trajectory costs for GR patients admitted between 1 February and 31 July 2022. Costs included hospital care (inpatient and outpatient), district nursing, long-term care (at home and in nursing homes) and short-term residential care. We used descriptive statistics, group-based trajectory modelling and logistic regression to examine differences between the identified cost groups. Results Over six months, 27 462 patients received GR, with a mean total cost of €40 469 (SD = €23 033). Sixty-eight percent of patients returned home, of whom 17% received home-based GR. Two latent groups were identified: a lower-cost group (88%) with mean costs of €35 024 (SD = 16 408), and a higher-cost group (12%) with mean costs of €82 012 (SD = 23 928). Patient characteristics only partially explained group membership. The higher-cost group accounted for 23% of total costs, mainly due to hospital (re)admissions, nursing home admissions and longer GR stays. Conclusion GR costs were unevenly distributed: 12% of patients incurred 23% of total costs. Key factors associated with high costs were hospital care, nursing home admissions and prolonged GR stays. Early identification and better care coordination, including shifting care closer to home, may improve continuity, reduce costs and support more efficient geriatric rehabilitation delivery. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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