دورية أكاديمية
أعرض في EDS

Examining the role of race and quality of home health agencies in delayed initiation of home health services for individuals with Alzheimer's disease and related dementias (ADRD).

التفاصيل البيبلوغرافية
العنوان: Examining the role of race and quality of home health agencies in delayed initiation of home health services for individuals with Alzheimer's disease and related dementias (ADRD).
المؤلفون: Karmarkar AM; Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, School of Medicine, Richmond, Virginia, USA.; Research Department, Sheltering Arms Institute, Richmond, Virginia, USA., Roy I; Center for Health Equity Research, Northern Arizona University, Flagstaff, Arizona, USA., Rivera-Hernandez M; Department of Health Services, Policy & Practice, School of Public Health, Brown University, Providence, Rhode Island, USA., Shaibi S; Physical Therapy Department, Creighton University, Phoenix, Arizona, USA., Baldwin JA; Center for Health Equity Research, Northern Arizona University, Flagstaff, Arizona, USA., Lane T; Center for Health Equity Research, Northern Arizona University, Flagstaff, Arizona, USA., Kean J; Department of Population Health Sciences, School of Medicine, University of Utah, Salt Lake City, Utah, USA., Kumar A; Department of Population Health Sciences, School of Medicine, University of Utah, Salt Lake City, Utah, USA.; Department of Physical Therapy and Athletic Training, College of Health, University of Utah, Salt Lake City, Utah, USA.
المصدر: Alzheimer's & dementia : the journal of the Alzheimer's Association [Alzheimers Dement] 2023 Sep; Vol. 19 (9), pp. 4037-4045. Date of Electronic Publication: 2023 May 19.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons, Ltd Country of Publication: United States NLM ID: 101231978 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-5279 (Electronic) Linking ISSN: 15525260 NLM ISO Abbreviation: Alzheimers Dement Subsets: MEDLINE
أسماء مطبوعة: Publication: 2020- : Hoboken, NJ : John Wiley & Sons, Ltd.
Original Publication: Orlando, FL : Elsevier, Inc.
مواضيع طبية MeSH: Alzheimer Disease*/therapy , Home Care Agencies* , Home Care Services*, Aged ; Humans ; United States ; Medicare ; Health Services
مستخلص: Introduction: We examined differences in the timeliness of the initiation of home health care by race and the quality of home health agencies (HHA) among patients with Alzheimer's disease and related dementias (ADRD).
Methods: Medicare claims and home health assessment data were used for the study cohort: individuals aged ≥65 years with ADRD, and discharged from the hospital. Home health latency was defined as patients receiving home health care after 2 days following hospital discharge.
Results: Of 251,887 patients with ADRD, 57% received home health within 2 days following hospital discharge. Black patients were significantly more likely to experience home health latency (odds ratio [OR] = 1.15, 95% confidence interval [CI] = 1.11-1.19) compared to White patients. Home health latency was significantly higher for Black patients in low-rating HHA (OR = 1.29, 95% CI = 1.22-1.37) compared to White patients in high-rating HHA.
Discussion: Black patients are more likely to experience a delay in home health care initiation than White patients.
(© 2023 the Alzheimer's Association.)
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معلومات مُعتمدة: R03 AG060345 United States AG NIA NIH HHS; U54 MD012388 United States MD NIMHD NIH HHS
فهرسة مساهمة: Keywords: Alzheimer's disease and related dementias (ADRD); disparities; home health services; process of care; quality of care
تواريخ الأحداث: Date Created: 20230519 Date Completed: 20230915 Latest Revision: 20231221
رمز التحديث: 20231221
مُعرف محوري في PubMed: PMC10730234
DOI: 10.1002/alz.13139
PMID: 37204409
قاعدة البيانات: MEDLINE
الوصف
تدمد:1552-5279
DOI:10.1002/alz.13139