Home Health Care and Place of Death in Medicare Beneficiaries With and Without Dementia.

ABSTRACT:

Background and objectives

Home health care supports patient goals for aging in place. Our objective was to determine if home health care use in the last 3 years of life reduces the risk of inpatient death without hospice.

Research design and methods

We analyzed the characteristics of 2,065,300 Medicare beneficiaries who died in 2019 and conducted multinomial logistic regression analyses to evaluate the association between the use and timing of home health care, dementia diagnosis, and place of death.

Results

Receiving any home health care in the last 3 years of life was associated with a lower probability of inpatient death without hospice (Pr 23.3% vs 31.5%, p < .001), and this effect was stronger when home health care began prior to versus during the last year of li

SUBMITTER: Kim HD 

PROVIDER: S-EPMC11469753 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature