Association Between States' Certificate of Need Laws and Home Health Care Access in the US.
| Autor: | Nataliansyah MM; Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA., Ward MM; Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA, USA., Zhu X; Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of applied gerontology : the official journal of the Southern Gerontological Society [J Appl Gerontol] 2024 Jun; Vol. 43 (6), pp. 670-677. Date of Electronic Publication: 2023 Dec 13. |
| DOI: | 10.1177/07334648231218079 |
| Abstrakt: | Home health care has a significant role in the care of Medicare beneficiaries. Certificate of Need (CON) laws for home health agencies limit their number in affected states. This study's objective was to evaluate the association of CON laws with the availability and service utilization of urban and rural home health agencies in CON states and non-CON states using the generalized estimating equations (GEE) method. The results from this study indicated that CON states have fewer home health agencies for their Medicare population than non-CON states, regardless of urbanicity or rurality. Home health agencies in CON states also have less service utilization in terms of care episodes and visits per patient. This study provides an understanding of the effects of CON laws on Medicare beneficiaries' home health access and experiences. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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