Exploring the home healthcare workforce in Alzheimer's disease and related dementias: Utilization and cost outcomes in US community dwelling older adults

Autor: Zhiqiang K. Lu, Jun Wu, Mary Lynn Davis-Ajami
Rok vydání: 2022
Předmět:
Zdroj: Archives of Gerontology and Geriatrics. 98:104536
ISSN: 0167-4943
DOI: 10.1016/j.archger.2021.104536
Popis: OBJECTIVE This study assessed home health care use associated with Alzheimer's Disease and related dementias (ADRD) in US community dwelling older adults, including workforce, intensity, and cost outcomes. MATERIALS AND METHODS Medical Expenditure Panel Survey (2010-2018) household and home care event files were used to identify adults ≥ 65 years with ADRD. Outcomes included home health care provider type, intensity of care use, and annual direct home care cost. All analyses applied person weights for national estimates. RESULTS Among the 20,443 eligible older adults, 4.2% (n = 843) reported ADRD. Among all professional and non-professional health care workers, nurse practitioners (NPs, 38.5%) and home health care aids (35.6%) were most used. Comparing ADRD vs non-ADRD: the annual per-person average number of days in home care was 110 vs. 64 (p
Databáze: OpenAIRE