TY - JOUR
T1 - Home health services for minorities in urban and rural areas with Alzheimer’s and related dementia
AU - Karmarkar, Amol M.
AU - Roy, Indrakshi
AU - Lane, Taylor
AU - Shaibi, Stefany
AU - Baldwin, Julie A.
AU - Kumar, Amit
N1 - Publisher Copyright:
© 2023 Taylor & Francis.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - Alzheimer’s Disease and Related Dementia (ADRD)
KW - disparities
KW - home health care
KW - rural and urban locations
UR - http://www.scopus.com/inward/record.url?scp=85158102188&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85158102188&partnerID=8YFLogxK
U2 - 10.1080/01621424.2023.2206368
DO - 10.1080/01621424.2023.2206368
M3 - Article
C2 - 37128943
AN - SCOPUS:85158102188
SN - 0162-1424
VL - 42
SP - 265
EP - 281
JO - Home Health Care Services Quarterly
JF - Home Health Care Services Quarterly
IS - 4
ER -