干旱区生态环境知识资源中心(Arid): Relationship of Medicare-Medicaid Dual Eligibility and Dementia With Unplanned Facility Admissions Among Medicare Home Health Care Recipients

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DOI	10.1177/0898264319899211
	Relationship of Medicare-Medicaid Dual Eligibility and Dementia With Unplanned Facility Admissions Among Medicare Home Health Care Recipients
	Wang, Jinjiao 1; Caprio, Thomas, V 2,3,4; Temkin-Greener, Helena 5; Cai, Xueya 6; Simning, Adam 7; Li, Yue 5
通讯作者	Wang, Jinjiao
来源期刊	JOURNAL OF AGING AND HEALTH
ISSN	0898-2643
EISSN	1552-6887
出版年	2020
卷号	32 期号:9 页码:1178-1187
英文摘要	Objective: The objective of this study was to examine the effects of dementia and Medicare-Medicaid dual eligibility on unplanned facility admission among older Medicare home health (HH) recipients. Method: This study involves a secondary analysis of data from the Outcome and Assessment Information Set (OASIS) and billing records (i.e., International Classification of Diseases, 10th Revision [ICD-10] codes) of 6,153 adults >= 65 years receiving HH from a nonprofit HH agency in CY 2017. Results: Among dual eligible patients with dementia, 39.3% had an unplanned facility admission of any type, including the hospital, nursing home, or rehabilitation facility. In the multivariable Cox proportional hazard model of time-to-facility admission, dual eligible patients with dementia were more than twice as likely as Medicare-only patients without dementia to have an unplanned facility admission (hazard ratio = 2.35; 95% confidence interval: 1.28, 4.33; p = .006). Discussion: Low income and dementia have interactive effects on facility admissions. Among Medicare HH recipients, dual eligible patients with dementia are the most vulnerable group for unplanned facility admission.
英文关键词	home health Alzheimer's disease and related dementias low income hospitalization
类型	Article
语种	英语
国家	USA
收录类别	SSCI
WOS记录号	WOS:000507825400001
WOS关键词	RISK-FACTORS ; ALZHEIMERS-DISEASE ; NATIONAL SAMPLE ; OLDER-ADULTS ; COMORBIDITY ; ACCESS ; HOSPITALIZATION ; DISPARITIES ; PREVALENCE ; REASONS
WOS类目	Gerontology ; Health Policy & Services
WOS研究方向	Geriatrics & Gerontology ; Health Care Sciences & Services
EI主题词	2020-01-15
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/312504
作者单位	1.Univ Rochester, Sch Nursing, Room 2w-121,255 Crittenden Blvd, Rochester, NY 14642 USA; 2.Univ Rochester, Dept Med, Med Ctr, Rochester, NY 14642 USA; 3.Univ Rochester Med Home Care, Rochester, NY USA; 4.Finger Lakes Geriatr Educ Ctr, Rochester, NY USA; 5.Univ Rochester, Dept Publ Hlth Sci, Rochester, NY 14642 USA; 6.Univ Rochester, Dept Biostat & Computat Biol, Rochester, NY 14642 USA; 7.Univ Rochester, Dept Psychiat, Med Ctr, Rochester, NY 14642 USA
推荐引用方式 GB/T 7714	Wang, Jinjiao,Caprio, Thomas, V,Temkin-Greener, Helena,et al. Relationship of Medicare-Medicaid Dual Eligibility and Dementia With Unplanned Facility Admissions Among Medicare Home Health Care Recipients[J],2020,32(9):1178-1187.
APA	Wang, Jinjiao,Caprio, Thomas, V,Temkin-Greener, Helena,Cai, Xueya,Simning, Adam,&Li, Yue.(2020).Relationship of Medicare-Medicaid Dual Eligibility and Dementia With Unplanned Facility Admissions Among Medicare Home Health Care Recipients.JOURNAL OF AGING AND HEALTH,32(9),1178-1187.
MLA	Wang, Jinjiao,et al."Relationship of Medicare-Medicaid Dual Eligibility and Dementia With Unplanned Facility Admissions Among Medicare Home Health Care Recipients".JOURNAL OF AGING AND HEALTH 32.9(2020):1178-1187.