Home health services for minorities in urban and rural areas with Alzheimer's and related dementia.

IF 1.2 Q4 HEALTH POLICY & SERVICES
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-10-02 Epub Date: 2023-04-27 DOI:10.1080/01621424.2023.2206368
Amol M Karmarkar, Indrakshi Roy, Taylor Lane, Stefany Shaibi, Julie A Baldwin, Amit Kumar
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引用次数: 0

Abstract

Timely access and continuum of care in older adults with Alzheimer's Disease and Related Dementia (ADRD) is critical. This is a retrospective study on Medicare fee-for-service beneficiaries with ADRD diagnosis discharged to home with home health care following an episode of acute hospitalization. Our sample included 262,525 patients. White patients in rural areas have significantly higher odds of delay (odds ratio [OR], 1.03; 95% CI, 1.01-1.06). Black patients in urban areas (OR, 1.15; 95% CI, 1.12-1.19) and Hispanic patients in urban areas also were more likely to have a delay (OR, 1.07; 95% CI, 1.03-1.11). Black and Hispanic patients residing in urban areas had a higher likelihood of delay in home healthcare initiation following hospitalization compared to Whites residing in urban areas.

为城市和农村地区患有阿尔茨海默氏症和相关痴呆症的少数民族提供家庭保健服务。
老年阿尔茨海默病和相关痴呆症(ADRD)患者及时获得和持续护理至关重要。这是一项关于诊断为ADRD的服务受益人在急性住院后出院并接受家庭医疗的医疗保险费用的回顾性研究。我们的样本包括262525名患者。农村地区的白人患者延迟的几率明显更高(比值比[OR],1.03;95%CI,1.01-1.06住院后与居住在城市地区的白人相比。
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来源期刊
HOME HEALTH CARE SERVICES QUARTERLY
HOME HEALTH CARE SERVICES QUARTERLY HEALTH POLICY & SERVICES-
CiteScore
2.40
自引率
0.00%
发文量
18
期刊介绍: Home Health Care Services Quarterly continues to publish important research on the cutting edge of home care and alternatives to long-term institutional care for the elderly, disabled, and other population groups that use in-home health care and other community services. The journal is aimed toward service providers and health care specialists involved with health care financing, evaluation of services, organization of services, and public policy issues.
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