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Socioeconomic and geographic inequalities in hospital-level ADRD burden: implications for hospital-to-home transitions and dementia care coordination. 医院层面ADRD负担的社会经济和地理不平等：对医院到家庭过渡和痴呆护理协调的影响
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2026-08-19 DOI: 10.1080/01621424.2026.2717528
Wanich Suksatan
{"title":"Socioeconomic and geographic inequalities in hospital-level ADRD burden: implications for hospital-to-home transitions and dementia care coordination.","authors":"Wanich Suksatan","doi":"10.1080/01621424.2026.2717528","DOIUrl":"https://doi.org/10.1080/01621424.2026.2717528","url":null,"abstract":"<p><p>Alzheimer's disease and related dementias (ADRD) create challenges for hospital-to-home transitions, caregiver preparation, and home health care coordination. This cross-sectional study examined socioeconomic and geographic inequalities in hospital-level ADRD burden among 3,027 U.S. hospitals serving Medicare fee-for-service beneficiaries. Multivariable quasibinomial regression assessed associations between ADRD prevalence and hospital characteristics, rurality, census region, and patient composition. An age-adjusted sensitivity analysis was conducted among 3,003 hospitals with complete age-composition data. Mean hospital-level ADRD prevalence was 22.00% among patients and 24.00% among events. In the primary model, ADRD prevalence was higher in hospitals in the South and among hospitals serving higher proportions of dual-eligible, female, and White patients. In the age-adjusted sensitivity model, dual eligibility remained strongly associated with ADRD prevalence, while the female-composition association was attenuated. These hospital-level patterns may help identify settings where enhanced discharge planning and home health care coordination should be considered.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"1-17"},"PeriodicalIF":1.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Competencies for person-centered practice in the home and community-based services workforce: a scoping review of gray literature. 胜任力以人为本的实践在家庭和社区服务劳动力：灰色文献的范围审查。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2026-08-04 DOI: 10.1080/01621424.2026.2712897
Bishan Yang, Tonie Sadler, Niveda Tennety, Ross Kaine, Allen W Heinemann
{"title":"Competencies for person-centered practice in the home and community-based services workforce: a scoping review of gray literature.","authors":"Bishan Yang, Tonie Sadler, Niveda Tennety, Ross Kaine, Allen W Heinemann","doi":"10.1080/01621424.2026.2712897","DOIUrl":"https://doi.org/10.1080/01621424.2026.2712897","url":null,"abstract":"<p><p>Home and community-based services (HCBS) in the United States are required to deliver person-centered practice (PCP) under the HCBS Settings Rule, yet peer-reviewed literature provides limited insight into how PCP workforce competencies are operationalized in HCBS practice. This scoping review synthesized gray literature, including policy briefs, training guides, government documents, and practice resources, to describe PCP competencies and explore barriers and facilitators to implementation in the HCBS workforce. Twenty-eight documents met the inclusion criteria. Most competencies aligned with the five competency domains of the National Center on Advancing Person-Centered Practices and Systems, while additional competencies related to trauma-informed practice, health and safety, staff attributes, and crisis intervention also emerged. Implementation barriers included variation in training requirements, workforce shortages, inconsistent documentation and monitoring, and administrative challenges. Facilitators included standardized training, organizational support, and competency development opportunities. Findings complement evidence from academic research, highlighting recommendations to improve PCP in the HCBS workforce.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"1-31"},"PeriodicalIF":1.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Age differences in the association between physical activity and self-rated health: implications for home health care. 身体活动与自我评价健康之间的年龄差异：对家庭保健的影响。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2026-06-18 DOI: 10.1080/01621424.2026.2689563
Wanich Suksatan
{"title":"Age differences in the association between physical activity and self-rated health: implications for home health care.","authors":"Wanich Suksatan","doi":"10.1080/01621424.2026.2689563","DOIUrl":"https://doi.org/10.1080/01621424.2026.2689563","url":null,"abstract":"<p><p>Self-rated health (SRH) is an important indicator of overall well-being and is associated with morbidity, functional decline, and mortality. This study examined temporal trends, sociodemographic and behavioral determinants, and age-related differences in fair or poor SRH among adults in Missouri. A repeated cross-sectional analysis was conducted among 56,970 adults aged ≥ 18 years. Survey-weighted logistic regression models were used to assess associations between physical activity and SRH, adjusting for sociodemographic and health-related factors. The prevalence of fair or poor SRH declined from 20.5% in 2018 to 16.2% in 2020 before increasing to 20.1% in 2024. Lower income and unemployment were strongly associated with poor SRH. Physical activity was associated with lower odds of poor SRH, with a stronger protective association observed among adults aged ≥ 65 years. These findings highlight the importance of promoting physical activity to support healthy aging and improve health outcomes among community-dwelling adults.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"1-16"},"PeriodicalIF":1.4,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of lower extremity peripheral arterial disease on activities of daily living in home care patients. 下肢外周动脉疾病对居家护理患者日常生活活动的影响。
IF 0.9
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2025-04-01 Epub Date: 2025-02-08 DOI: 10.1080/01621424.2025.2463643
Nur Simsek Yurt, Esra Bocek Aker, Erdinc Yavuz, Mehmet Maruf Aydin
{"title":"The impact of lower extremity peripheral arterial disease on activities of daily living in home care patients.","authors":"Nur Simsek Yurt, Esra Bocek Aker, Erdinc Yavuz, Mehmet Maruf Aydin","doi":"10.1080/01621424.2025.2463643","DOIUrl":"10.1080/01621424.2025.2463643","url":null,"abstract":"<p><p>Peripheral arterial disease (PAD) causes narrowing of the lower extremity arteries and impacts daily living activities. This retrospective study (April 2023 - April 2024) examined 171 home care patients, with 31.6% diagnosed with PAD. Of these, 37.4% were fully dependent, 36.3% (<i>n</i> = 62) were severely dependent, 16.4% (<i>n</i> = 28) were moderately dependent, 7.0% (<i>n</i> = 12) were mildly dependent, 2.9% (<i>n</i> = 5) were independent, and PAD prevalence was higher among severely dependent patients. Dementia was identified as a significant risk factor for PAD. The high prevalence of PAD among severely dependent individuals suggests a potential link between lifestyle factors and PAD risk. The study highlights the need for further research on whether modifying PAD risk factors can enhance patient independence.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"47-58"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with state adoption of the 1915(i) state plan and 1915(k) community first-choice Medicaid home and community-based services programs. 与州采用1915(i)州计划和1915(k)社区第一选择医疗补助家庭和社区服务计划相关的因素。
IF 0.9
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2025-04-01 Epub Date: 2025-04-27 DOI: 10.1080/01621424.2025.2496874
Lisa Kalimon Beauregard, Edward Alan Miller
{"title":"Factors associated with state adoption of the 1915(i) state plan and 1915(k) community first-choice Medicaid home and community-based services programs.","authors":"Lisa Kalimon Beauregard, Edward Alan Miller","doi":"10.1080/01621424.2025.2496874","DOIUrl":"10.1080/01621424.2025.2496874","url":null,"abstract":"<p><p>The COVID-19 pandemic has had serious consequences for older adults and individuals with chronic conditions, many of whom rely on long-term services and supports. In response to the pandemic, the federal government invested nearly $13 billion dollars for states to expand home and community-based services (HCBS) for older adults and persons with disabilities. States have several options to provide Medicaid-funded HCBS benefits including the 1915(i) HCBS benefit and 1915(k) Community First Choice program. This research uses event history analysis to model state adoption of these two optional Medicaid benefits. The results indicate that a Democratic governor and the state's unemployment rate were associated with states' adoption of the 1915(k) program, while the unemployment rate and the supply of home health agencies were associated with states' adoption of the 1915(i) benefit. Findings highlight similarities in factors associated with Medicaid HCBS program adoption as well as differences stemming from unique program attributes.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"59-75"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Home-based intervention and monitoring in spinal cord injury: evaluating method and compliance in a telehealth trial. 脊髓损伤的家庭干预和监测：远程医疗试验中的评估方法和依从性。
IF 0.9
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2025-04-01 Epub Date: 2025-07-03 DOI: 10.1080/01621424.2025.2522702
Tassanai Parittotokkaporn, Romana Pylypchuk, Anna Lawrence, Bensy Mathew, Sureshbabu Subramanian, Simon J O'Carroll
{"title":"Home-based intervention and monitoring in spinal cord injury: evaluating method and compliance in a telehealth trial.","authors":"Tassanai Parittotokkaporn, Romana Pylypchuk, Anna Lawrence, Bensy Mathew, Sureshbabu Subramanian, Simon J O'Carroll","doi":"10.1080/01621424.2025.2522702","DOIUrl":"10.1080/01621424.2025.2522702","url":null,"abstract":"<p><p>Telehealth, accelerated by the COVID-19 pandemic, has become essential in-home health care, particularly for individuals with spinal cord injury (SCI). However, traditional telehealth often lacks adequate remote intervention and monitoring for SCI patients. This study evaluated a novel telehealth trial using transcutaneous electrical stimulation (TES) with innovative approaches to improve bladder function in SCI patients. Fifteen participants completed daily 15-minute TES sessions over four weeks, supported by courier-delivered equipment, video conferencing, and online assessments with self-reported monitoring at home. The trial achieved 100% adherence, with 80% of participants expressing confidence in device use and 87% indicating willingness to continue TES. Most participants found the device user-friendly, and 66% reported symptom improvement. This study highlights the potential of telehealth trials to enhance access to care, improve patient outcomes, and promote health equity in home care settings, particularly during periods of restricted in-person healthcare delivery.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"76-91"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimism and resilience among the precariat: a gendered analysis of community home-based care work in South Africa. 不稳定群体的乐观主义和复原力：对南非社区家庭护理工作的性别分析。
IF 0.9
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2025-01-01 Epub Date: 2024-11-02 DOI: 10.1080/01621424.2024.2421537
Irene Marindi, Kezia Batisai
{"title":"Optimism and resilience among the precariat: a gendered analysis of community home-based care work in South Africa.","authors":"Irene Marindi, Kezia Batisai","doi":"10.1080/01621424.2024.2421537","DOIUrl":"10.1080/01621424.2024.2421537","url":null,"abstract":"<p><p>Community Home-Based Care (CHBC) workers around the world have not been satisfied with their work over the years. In South Africa, unfair labor practices and poor organization of CHBC work have recently led to strikes and unionization by caregivers. At the frontline of caregiving are black working-class women whose dominance illuminates how the intersections of gender, class and race contribute to care workers' precariat position. Regardless of the gendered precarious encounters, the 20 female CHBC workers from Soweto, South Africa, who participated in this study, are optimistic and resilient. This article visibilizes the optimism, resilience, positivity, self-empowerment, control, the gendered power, and agency that care workers exercise in response to the challenges that characterize care work. Beyond merely illuminating the gendered oppositional binaries, the article calls for the deconstruction of gendered hierarchies in care work to disrupt the exclusive participation of women in the global labor markets as care workers.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"1-25"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Elderly Health Care Voucher Scheme in Hong Kong: needs assessment and an evaluation of outcomes. 香港長者醫療券計劃：需要評估及成效評估。
IF 0.9
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2025-01-01 Epub Date: 2024-11-07 DOI: 10.1080/01621424.2024.2425932
Gigi Lam
{"title":"Elderly Health Care Voucher Scheme in Hong Kong: needs assessment and an evaluation of outcomes.","authors":"Gigi Lam","doi":"10.1080/01621424.2024.2425932","DOIUrl":"10.1080/01621424.2024.2425932","url":null,"abstract":"<p><p>Elderly Health Care Voucher Scheme represents a form of demand-side subsidy given to the elders to choose a spectrum of medical services in the private medical sector. The current paper aims at (a) conducting a needs assessment of the scheme with an analytical framework of the Four A 's approach (i.e., availability, awareness, accessibility, and acceptance regarding a social program) and (b) evaluating whether the outcome measures of the scheme (i.e., the use of private healthcare services, the use of primary care and the empowerment of the elders in the choice of services) were achieved. The needs assessment concludes that the utilization rate of the elders, awareness and satisfaction rate are high. The positive sides concluded from the needs assessment, however, failed to turn into the fulfillment of outcome measures due to the structural barriers. Recommendations at short-term, medium-term and long-term are made.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"26-46"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impacts of the COVID-19 pandemic on healthcare utilization among Home Care Aides in Washington, U.S. COVID-19 大流行对美国华盛顿州家庭护理助理使用医疗服务的影响
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-10-01 Epub Date: 2024-06-28 DOI: 10.1080/01621424.2024.2369079
Zhenhui Trinh, Ian Cogswell, Kate Causey
{"title":"Impacts of the COVID-19 pandemic on healthcare utilization among Home Care Aides in Washington, U.S.","authors":"Zhenhui Trinh, Ian Cogswell, Kate Causey","doi":"10.1080/01621424.2024.2369079","DOIUrl":"10.1080/01621424.2024.2369079","url":null,"abstract":"<p><p>This study assesses the impacts of the COVID-19 pandemic on healthcare access for Washington State Home Care Aides (HCAs). Analyzing 62 months of medical claims data from over 35,000 HCAs, the research reveals significant healthcare disruptions during the early pandemic, especially in outpatient settings. However, healthcare utilization rebounded swiftly, surpassing pre-COVID levels as new variants emerged. Furthermore, the analysis indicated significant decreases in healthcare utilization for respiratory conditions in later stages of the pandemic, suggesting that the implementation of non-pharmaceutical and pharmaceutical interventions played a crucial role in preventing the transmission of respiratory diseases. Notably, behavioral health-related utilization among HCAs increased significantly throughout most pandemic phases, underscoring the importance of enhancing behavioral health support during public health crises. This research represents the first comprehensive study unveiling the effects of the COVID-19 pandemic on HCAs' healthcare access and opening avenues for further research and policy development to support this essential workforce.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"285-310"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the association between sleep and health performance of migrant home care workers and elderly care recipients in Taiwan. 探讨台湾外来居家护理人员和老年护理对象的睡眠与健康表现之间的关系。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-10-01 Epub Date: 2024-07-10 DOI: 10.1080/01621424.2024.2375711
Po-Ching Kuo, Mita Restinia, Shu-Huei Lin, Yuh-Huey Jou, Ching-Ju Chiu
{"title":"Exploring the association between sleep and health performance of migrant home care workers and elderly care recipients in Taiwan.","authors":"Po-Ching Kuo, Mita Restinia, Shu-Huei Lin, Yuh-Huey Jou, Ching-Ju Chiu","doi":"10.1080/01621424.2024.2375711","DOIUrl":"10.1080/01621424.2024.2375711","url":null,"abstract":"<p><p>This study, conducted in June and July 2022 through purposive sampling, aimed to explore the relationship between sleep and health performance in 33 pairs of elderly individuals and their migrant caregivers in southern Taiwan. Participants completed a structured questionnaire and wore an <i>Actiwatch</i> for seven days. Pearson correlation and independent t-test were used for analysis. Nearly 50% of foreign home care workers suffered from insomnia, and 80% of elderly care recipients with disabilities experienced sleep disorders. The number of chronic illnesses and/or dementia among the elderly and insomnia among care workers were associated with poor self-perceived health (<i>r</i> = -0.667, <i>p</i> < .001) and sleep disorders among the elderly (<i>r</i> = 0.368, <i>p</i> = .035). The problem of caregiving should be addressed. Future studies should increase the sample size and extend the duration of the study to enhance the generalizability of the findings.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"311-327"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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