干旱区生态环境知识资源中心(Arid): Characterizing changes to older adults' care transition patterns from hospital to home care in the initial year of COVID-19

Arid

DOI	10.1111/jgs.18839
	Characterizing changes to older adults' care transition patterns from hospital to home care in the initial year of COVID-19
	Arbaje, Alicia I.; Hsu, Yea-Jen; Zhou, Zehui; Greyson, Sylvan; Gurses, Ayse P.; Keller, Sara; Marsteller, Jill; Bowles, Kathryn H.; Mcdonald, Margaret V.; Vergez, Sasha; Harbison, Katie; Hohl, Dawn; Carl, Kimberly; Leff, Bruce
通讯作者	Arbaje, AI
来源期刊	JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
ISSN	0002-8614
EISSN	1532-5415
出版年	2024
卷号	72 期号:4 页码:1079-1087
英文摘要	Background Skilled home healthcare (HH) provided in-person care to older adults during the COVID-19 pandemic, yet little is known about the pandemic's impact on HH care transition patterns. We investigated pandemic impact on (1) HH service volume; (2) population characteristics; and (3) care transition patterns for older adults receiving HH services after hospital or skilled nursing facility (SNF) discharge. Methods Retrospective, cohort, comparative study of recently hospitalized older adults (>= 65 years) receiving HH services after hospital or SNF discharge at two large HH agencies in Baltimore and New York City (NYC) 1-year pre- and 1-year post-pandemic onset. We used the Outcome and Assessment Information Set (OASIS) and service use records to examine HH utilization, patient characteristics, visit timeliness, medication issues, and 30-day emergency department (ED) visit and rehospitalization. Results Across sites, admissions to HH declined by 23% in the pandemic's first year. Compared to the year prior, older adults receiving HH services during the first year of the pandemic were more likely to be younger, have worse mental, respiratory, and functional status in some areas, and be assessed by HH providers as having higher risk of rehospitalization. Thirty-day rehospitalization rates were lower during the first year of the pandemic. COVID-positive HH patients had lower odds of 30-day ED visit or rehospitalization. At the NYC site, extended duration between discharge and first HH visit was associated with reduced 30-day ED visit or rehospitalization. Conclusions HH patient characteristics and utilization were distinct in Baltimore versus NYC in the initial year of the COVID-19 pandemic. Study findings suggest some older adults who needed HH may not have received it, since the decrease in HH services occurred as SNF use decreased nationally. Findings demonstrate the importance of understanding HH agency responsiveness during public health emergencies to ensure older adults' access to care.
英文关键词	COVID-19 home healthcare and home health agencies older adults patient discharge transitional care
类型	Article
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:001179796200001
WOS类目	Geriatrics & Gerontology ; Gerontology
WOS研究方向	Geriatrics & Gerontology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/404716
推荐引用方式 GB/T 7714	Arbaje, Alicia I.,Hsu, Yea-Jen,Zhou, Zehui,et al. Characterizing changes to older adults' care transition patterns from hospital to home care in the initial year of COVID-19[J],2024,72(4):1079-1087.
APA	Arbaje, Alicia I..,Hsu, Yea-Jen.,Zhou, Zehui.,Greyson, Sylvan.,Gurses, Ayse P..,...&Leff, Bruce.(2024).Characterizing changes to older adults' care transition patterns from hospital to home care in the initial year of COVID-19.JOURNAL OF THE AMERICAN GERIATRICS SOCIETY,72(4),1079-1087.
MLA	Arbaje, Alicia I.,et al."Characterizing changes to older adults' care transition patterns from hospital to home care in the initial year of COVID-19".JOURNAL OF THE AMERICAN GERIATRICS SOCIETY 72.4(2024):1079-1087.