1. Home health services for minorities in urban and rural areas with Alzheimer's and related dementia.
- Author
-
Karmarkar, Amol M., Roy, Indrakshi, Lane, Taylor, Shaibi, Stefany, Baldwin, Julie A., and Kumar, Amit
- Subjects
- *
ALZHEIMER'S disease treatment , *SENILE dementia treatment , *MEDICAL quality control , *STATISTICS , *MINORITIES , *SOCIAL determinants of health , *CONFIDENCE intervals , *HOME care services , *RURAL conditions , *MULTIPLE regression analysis , *RACE , *RETROSPECTIVE studies , *TREATMENT delay (Medicine) , *T-test (Statistics) , *HOSPITAL care of older people , *CHI-squared test , *DESCRIPTIVE statistics , *RESEARCH funding , *METROPOLITAN areas , *HEALTH equity , *STATISTICAL models , *ODDS ratio , *DATA analysis software , *MEDICARE , *DISCHARGE planning - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF