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

Amol M. Karmarkar, Indrakshi Roy, Taylor Lane, Stefany Shaibi, Julie A. Baldwin, Amit Kumar

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)265-281
Number of pages17
JournalHome Health Care Services Quarterly
Volume42
Issue number4
DOIs
StatePublished - 2023

Keywords

  • Alzheimer’s Disease and Related Dementia (ADRD)
  • disparities
  • home health care
  • rural and urban locations

ASJC Scopus subject areas

  • Health Policy
  • Community and Home Care
  • Public Health, Environmental and Occupational Health

Fingerprint

Dive into the research topics of 'Home health services for minorities in urban and rural areas with Alzheimer’s and related dementia'. Together they form a unique fingerprint.

Cite this