Abstract:
: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.
journal_name
J Aging Healthjournal_title
Journal of aging and healthauthors
Wang J,Caprio TV,Temkin-Greener H,Cai X,Simning A,Li Ydoi
10.1177/0898264319899211subject
Has Abstractpub_date
2020-10-01 00:00:00pages
1178-1187issue
9eissn
0898-2643issn
1552-6887journal_volume
32pub_type
杂志文章abstract::Objective: This study examines effects of physical and functional limitations on health care utilization among older cancer survivors, compared with those without cancer and without physical and functional limitations. Method: Medicare Current Beneficiary Survey data from 2008 to 2011 were used. Physical limitations (...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264319872309
更新日期:2020-10-01 00:00:00
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journal_title:Journal of aging and health
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doi:10.1177/0898264314546715
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abstract:OBJECTIVES:Multimorbidity in centenarians is common; although investigations of the prevalence of morbidity in centenarians are accumulating, research on profiles of co-occurrence of morbidities is still sparse. Our aim was to explore profiles of comorbidities in centenarians. METHOD:Health insurance data from 1,121 c...
journal_title:Journal of aging and health
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更新日期:2019-04-01 00:00:00
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journal_title:Journal of aging and health
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doi:10.1177/0898264304264211
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journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264305285664
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journal_title:Journal of aging and health
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journal_title:Journal of aging and health
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journal_title:Journal of aging and health
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更新日期:2013-03-01 00:00:00
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journal_title:Journal of aging and health
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journal_title:Journal of aging and health
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journal_title:Journal of aging and health
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更新日期:2013-09-01 00:00:00
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journal_title:Journal of aging and health
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更新日期:2014-09-01 00:00:00
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更新日期:1992-11-01 00:00:00
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journal_title:Journal of aging and health
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更新日期:2005-10-01 00:00:00
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更新日期:2016-03-01 00:00:00
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更新日期:2015-09-01 00:00:00
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更新日期:1989-11-01 00:00:00
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更新日期:2003-05-01 00:00:00
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journal_title:Journal of aging and health
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更新日期:2017-03-01 00:00:00