Medicare-funded home-based clinical care for community-dwelling persons with dementia: An essential healthcare delivery mechanism.

ABSTRACT:

Background

Over the past decade, medical care has shifted from institutions into home settings-particularly among persons with dementia. Yet it is unknown how home-based clinical services currently support persons with dementia, and what factors shape access.

Methods

Using the National Health and Aging Trends Study linked to Medicare claims 2012-2017, we identified 6664 community-dwelling adults age ≥ 70 years enrolled in fee-for-service Medicare. Annual assessment of dementia status was determined via self-report, cognitive interview, and/or proxy assessment. Receipt of four types of home-based clinical care (home-based medical care (HBMC) (i.e., nurse practitioner, physician, or physician assistant visits), skilled home health care (SHHC), podiatry visits, and other types

SUBMITTER: Ornstein KA 

PROVIDER: S-EPMC8986555 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature