. 1994 Fall;16(1):35–67.

Table 1. Functional Outcomes at Three Months After Start of Care for 2,622 Medicare Home Health Patients Admitted From Hospital (1,905 Patients) or From Community (717 Patients)¹.

Functional Outcomes	Admitted From Hospital² (n = 1,905)				Admitted From Community² (n = 717)

	Improvement³		Stabilization³		Improvement³		Stabilization³

	Difference⁴	Pattern⁴	Difference	Pattern	Difference	Pattern	Difference	Pattern
Ambulation	.356	.350	.905	.875	.262	.252	.848	.796
Transferring	.505	.502	.913	.889	.343	.343	.885	.842
Toileting	.487	.470	.923	.904	.379	.369	.893	.868
Bathing	.539	.517	.883	.838	.365	.354	.786	.745
Dressing Lower Body	.523	.509	.889	.859	.306	.293	.866	.819
Grooming	.532	.515	.914	.882	.404	.386	.886	.854
Main Meal Preparation	.423	.407	.820	.773	.325	.313	.759	.695
Housekeeping	.350	.343	.814	.757	.273	.264	.704	.652

The 2,622 patients were randomly sampled from Medicare admissions to 44 certified agencies in 27 States during 1991 and 1992. Patients were followed longitudinally with data collection occurring monthly until 3 months after start of care or until discharge, whichever occurred first. Data were collected prospectively using an optical scan form containing data items that had been piloted and reliability tested in earlier field trials.

To be admitted from hospital, it was necessary for the patient to be discharged from an acute inpatient stay within 14 days prior to home health admission.

All hospital versus community mean differences between improvement (difference and pattern) outcome measures and between stabilization (difference and pattern) outcome measures, respectively, are statistically significant (p < .10) using Fisher's exact test or its chi-square approximation when expected cell frequencies are ≥ 5. For example, the mean difference between the improvement pattern outcome measure in ambulation for hospital patients and the improvement pattern outcome measure in ambulation for community patients is significant at p < .10.

⁴

The difference and pattern measures are defined in the text for improvement (definitions [4] and [5] and stabilization definitions [6] and [7]).

SOURCE: Random samples of Medicare patients, 1991-92.

Table 1. Functional Outcomes at Three Months After Start of Care for 2,622 Medicare Home Health Patients Admitted From Hospital (1,905 Patients) or From Community (717 Patients)1.

Table 1. Functional Outcomes at Three Months After Start of Care for 2,622 Medicare Home Health Patients Admitted From Hospital (1,905 Patients) or From Community (717 Patients)¹.