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| DOI | 10.1097/MLR.0000000000001487 |
| Family Caregiver Training Needs and Medicare Home Health Visit Utilization | |
| Burgdorf, Julia G.; Stuart, Elizabeth A.; Arbaje, Alicia, I; Wolff, Jennifer L. | |
| 通讯作者 | Burgdorf, JG (corresponding author), Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Room 698,624 North Broadway, Baltimore, MD 21205 USA. |
| 来源期刊 | MEDICAL CARE
 |
| ISSN | 0025-7079 |
| EISSN | 1537-1948 |
| 出版年 | 2021 |
| 卷号 | 59期号:4页码:341-347 |
| 英文摘要 | Background: Medicare home health providers are now required to deliver family caregiver training, but potential consequences for service intensity are unknown. Objective: The objective of this study was to assess how family caregiver training needs affect the number and type of home health visits received. Design: Observational study using linked National Health and Aging Trends Study (NHATS), Outcomes and Assessment Information Set (OASIS), and Medicare claims data. Propensity score adjusted, multivariable logistic, and negative binomial regressions model the relationship between caregivers' training needs and number/type of home health visits. Subjects: A total of 1217 (weighted n=5,870,905) National Health and Aging Trends Study participants receiving Medicare-funded home health between 2011 and 2016. Measures: Number and type of home health visits, from Medicare claims. Family caregivers' training needs, from home health clinician reports. Results: Receipt of nursing visits was more likely when family caregivers had medication management [adjusted odds ratio (aOR): 3.03; 95% confidence interval (CI): 1.06, 8.68] or household chore training needs (aOR: 3.38; 95% CI: 1.33, 8.59). Receipt of therapy visits was more likely when caregivers had self-care training needs (aOR: 1.70; 95% CI: 1.01, 2.86). Receipt of aide visits was more likely when caregivers had household chore (aOR: 3.54; 95% CI: 1.82, 6.92) or self-care training needs (aOR: 2.12; 95% CI: 1.11, 4.05). Medication management training needs were associated with receiving an additional 1.06 (95% CI: 0.11, 2.01) nursing visits, and household chores training needs were associated with an additional 3.24 total (95% CI: 0.21, 6.28) and 1.32 aide visits (95% CI: 0.36, 2.27). Conclusion: Family caregivers' activity-specific training needs may affect home health visit utilization. |
| 英文关键词 | home health Medicare home care family caregiving older adult |
| 类型 | Article |
| 语种 | 英语 |
| 收录类别 | SCI-E ; SSCI |
| WOS记录号 | WOS:000647757200011 |
| WOS关键词 | INFORMAL CARE ; OLDER-ADULTS ; SUPPORT ; RISK |
| WOS类目 | Health Care Sciences & Services ; Health Policy & Services ; Public, Environmental & Occupational Health |
| WOS研究方向 | Health Care Sciences & Services ; Public, Environmental & Occupational Health |
| 资源类型 | 期刊论文 |
| 条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/351125 |
| 作者单位 | [Burgdorf, Julia G.; Wolff, Jennifer L.] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Room 698,624 North Broadway, Baltimore, MD 21205 USA; [Stuart, Elizabeth A.] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Biostat, Baltimore, MD 21205 USA; [Arbaje, Alicia, I] Johns Hopkins Univ, Sch Med, Div Geriatr Med & Gerontol, Baltimore, MD USA |
| 推荐引用方式 GB/T 7714 | Burgdorf, Julia G.,Stuart, Elizabeth A.,Arbaje, Alicia, I,et al. Family Caregiver Training Needs and Medicare Home Health Visit Utilization[J],2021,59(4):341-347. |
| APA | Burgdorf, Julia G.,Stuart, Elizabeth A.,Arbaje, Alicia, I,&Wolff, Jennifer L..(2021).Family Caregiver Training Needs and Medicare Home Health Visit Utilization.MEDICAL CARE,59(4),341-347. |
| MLA | Burgdorf, Julia G.,et al."Family Caregiver Training Needs and Medicare Home Health Visit Utilization".MEDICAL CARE 59.4(2021):341-347. |
| 条目包含的文件 | 条目无相关文件。 | |||||
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