期刊
HOME HEALTH CARE SERVICES QUARTERLY
卷 41, 期 2, 页码 139-148出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/01621424.2021.2009392
关键词
Medicare; medicaid; dementia; cognitive assessment
资金
- National Institute on Aging [T32 AG066576, K23 AG064036]
Research on home health utilization for patients with cognitive impairment is gaining interest, but there is a lack of standardization in measuring cognitive impairment, leading to varying prevalence estimates. Regardless of the measure used, a significant percentage of home health patients have cognitive impairment, highlighting the need for ongoing research in this area.
There is growing interest in understanding home health utilization and outcomes for those with cognitive impairment (CI). Yet, approaches to measuring CI during home health vary widely across studies, with little known regarding potential implications for findings. Among a nationally representative sample of community-living Medicare beneficiaries receiving home health (2011-2016), we compare estimated CI prevalence using four different measures and evaluate measure-specific strengths and limitations. CI prevalence estimates ranged from 18.4% of the sample with probable dementia from national survey data; to 27.8% with diagnosed dementia, from Medicare claims; to 26.7% with memory deficit and/or impaired decision-making and 43.9% with reduced cognitive function, from OASIS. Researchers must be deliberate in their choice of CI measure and transparent regarding its benefits and limitations. Regardless of the measure used, a sizable percentage of home health patients have CI, supporting the importance of ongoing research in this area.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据