Home health care services to persons with dementia and language preference
| Autor: | Chenjuan Ma, Amy Witkoski Stimpfel, Allison Squires, Linda L. Herrmann, Sarah Miner |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Gerontology Insurance type Article 03 medical and health sciences 0302 clinical medicine Home health Agency (sociology) medicine Humans Dementia 030212 general & internal medicine Language preference Aged Language Retrospective Studies Aged 80 and over Patient Preference medicine.disease Home Care Services United States Preference Female Psychology 030217 neurology & neurosurgery |
| Zdroj: | Geriatr Nurs |
| ISSN: | 0197-4572 |
| DOI: | 10.1016/j.gerinurse.2019.08.016 |
| Popis: | Despite the rapid increase in the number of persons with dementia (PWD) receiving home health care (HHC), little is known of HHC services patterns to PWD of varied backgrounds, including language preference other than English. Analyzing data of 12,043 PWD from an urban home health agency, we found on average PWD received 2.48 skilled visits or 1.88-hour skilled care and 5.81 aide visits or 24.13-hour aide care weekly. Approximately 63% of the skilled visits were from nurses. More non-English preferred PWD received aide visits, compared to English preferred PWD (44% vs. 36%). The type and intensity of HHC services were associated with language preference; when stratified by insurance, non-English preference was still significantly associated with more HHC aide care. Our study indicated that HHC services (both type and amount) varied by language preference and insurance type as an indicator of access disparities was a significant contributor to the observed differences. |
| Databáze: | OpenAIRE |
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