Evidence map›Paper›PMID 28322441›Full record

Observational studyJournal of the American Geriatrics Society2017

National Trends and Geographic Variation in Availability of Home Health Care: 2002-2015.

Yun Wang, Erica C Leifheit-Limson, Jonathan Fine, Michelle M Pandolfi, Yan Gao, Fanglin Liu, Sheila Eckenrode, Judith H Lichtman

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Article
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  12. Challenges in Deprescribing among Older Adults in Post-Acute Care Transitions to Home.Journal of the American Medical Directors Association · 2024
    Article
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  16. The Effects of Increasing State Minimum Wage on Family and Paid Caregiving.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
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  17. Article
  18. Rural-urban differences in family and paid caregiving utilization in the United States: Findings from the Cornell National Social Survey.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yun WangDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
Erica C Leifheit-LimsonDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut.
Jonathan FineSection of Pulmonary and Critical Care Medicine, Norwalk Hospital, Norwalk, Connecticut.
Michelle M PandolfiWhitney Center, Hamden, Connecticut.
Yan GaoDepartment of Sociology, Graduate School, University of New Hampshire, Durham, New Hampshire.
Fanglin LiuQualidigm, Wethersfield, Connecticut.
Sheila EckenrodeQualidigm, Wethersfield, Connecticut.
Judith H LichtmanCenter for Outcomes Research and Evaluation, Yale University and Yale-New Haven Hospital, New Haven, Connecticut.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Impact of Aging on Stroke Care: A National PerspectiveR03AG022075 · NIA · YALE UNIVERSITY · PI LICHTMAN, JUDITH H · 2003 to 2004
$151k
NCATS NIH HHS UL1 TR001863NIA NIH HHS R03 AG022075
6 · The paper itself

Abstract

objectivesTo evaluate national trends and geographic variation in the availability of home health care from 2002 to 2015 and identify county-specific characteristics associated with home health care.

designObservational study.

settingAll counties in the United States.

participantsAll Medicare-certified home health agencies included in the Centers for Medicare & Medicaid Services Home Health Compare system. MEASUREMENTS: County-specific availability of home health care, defined as the number of available home health agencies that provided services to a given county per 100,000 population aged ≥18 years.

resultsThe study included 15,184 Medicare-certified home health agencies that served 97% of U.S. ZIP codes. Between 2002-2003 and 2014-2015, the county-specific number of available home health agencies per 100,000 population aged ≥18 years increased from 14.7 to 21.8 and the median (inter-quartile range) population that was serviced by at least one home health agency increased from 403,605 (890,329) to 455,488 (1,039,328). Considerable geographic variation in the availability of home health care was observed. The West, North East, and South Atlantic regions had lower home health care availability than the Central regions, and this pattern persisted over the study period. Counties with higher median income, a larger senior population, higher rates of households without a car and low access to stores, more obesity, greater inactivity, and higher proportions of non-Hispanic white, non-Hispanic black, and Hispanic populations were more likely to have higher availability of home health care.

conclusionThe availability of home health care increased nationwide during the study period, but there was much geographic variation.

Indexed as

Health Services AccessibilityEthnicityGeography, MedicalHealth ServicesHome Care ServicesHumansIncomeMedicareUnited Statesgeographic variationhealth serviceshome health care

Identifiers

PMID28322441
PMCPMC5507741

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.