Hospitalization Trajectories in Home- and Community-Based Services Recipients: The Influence of Physician and Social Care Density.

ABSTRACT:

Objectives

Repeated hospitalizations among older adults receiving Home- and Community-Based Services (HCBS) may indicate unmet medical and social needs. This study examined all-cause hospitalization trajectories and the association between area-level resource density for medical and social care and the trajectory group membership.

Methods

The study participants included 11,223 adults aged 60 years or older who were enrolled in public HCBS programs in Michigan between 2008 and 2012. Data sources included the Michigan interRAI-Home Care, Dartmouth Atlas of Health Care Data, the American Community Survey, and the County Business Patterns from the Census Bureau. The group-based trajectory modeling was used to identify trajectories of hospitalization over 15 months. Correlates of

SUBMITTER: Kim MH 

PROVIDER: S-EPMC8436674 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature