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Invited Commentary
February 2015

Post–Acute CareWho Belongs Where?

Author Affiliations
  • 1Department of Internal Medicine, Section of Geriatrics, Yale University School of Medicine, New Haven, Connecticut
JAMA Intern Med. 2015;175(2):296-297. doi:10.1001/jamainternmed.2014.4298

At the time of discharge from an acute care hospital many patients are not able to return home and need a short or extended stay at skilled nursing facilities. This is not a new phenomenon. However, using the National Hospital Discharge Survey data, Burke et al1 found a 49% increase in the number of patients discharged from hospitals to post–acute care (PAC) facilities between 1996 and 2010. What is fueling this large increase?

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