Evidence map›Paper›PMID 32674820›Full record

ArticleJournal of the American Medical Directors Association2020

COVID-19 Preparedness in US Home Health Care Agencies.

Jingjing Shang, Ashley M Chastain, Uduwanage Gayani E Perera, Denise D Quigley, Caroline J Fu, Andrew W Dick, Monika Pogorzelska-Maziarz, Patricia W Stone

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
16.7field-weighted citation impact, top 1% of its field
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

39 citing papers in PubMed, 79 citations in OpenAlex.

  1. Patient-Driven Grouping Model and Home Health Use Among Traditional Medicare Beneficiaries.Journal of the American Medical Directors Association · 2026
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  3. Racial and Ethnic Differences in Post-acute Home Health Services Among Older Adults With Alzheimer's Disease and Related Dementias.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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  20. Forgotten Front Line: Understanding the Needs of Unionized Home Health Aides in Downstate New York During the COVID-19 Pandemic.New solutions : a journal of environmental and occupational health policy : NS · 2022
    Article
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 at 4 institutions in 1 country.

Jingjing ShangCenter for Health Policy, Columbia University School of Nursing, New York, NY. Electronic address: js4032@cumc.columbia.edu.
Ashley M ChastainCenter for Health Policy, Columbia University School of Nursing, New York, NY.
Uduwanage Gayani E PereraCenter for Health Policy, Columbia University School of Nursing, New York, NY.
Denise D QuigleyThe RAND Corporation, Santa Monica, CA.
Caroline J FuCenter for Health Policy, Columbia University School of Nursing, New York, NY.
Andrew W DickThe RAND Corporation, Boston, MA.
Monika Pogorzelska-MaziarzThomas Jefferson University, College of Nursing, Philadelphia, PA.
Patricia W StoneCenter for Health Policy, Columbia University School of Nursing, New York, NY.
Columbia University · USRAND Corporation · USColumbia University Irving Medical Center · USThomas Jefferson University · US

Funding

Infection Prevention in Home Health Care (InHOME)R01NR016865 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING, STONE, PATRICIA W. · 2017 to 2025
$6.4M
NINR NIH HHS R01 NR016865
6 · The paper itself

Abstract

objectivesIn the United States, home health agencies (HHAs) provide essential services for patients recovering from post-acute care and older adults who are aging in place. During the COVID-19 pandemic, HHAs may face additional challenges caring for these vulnerable patients. Our objective was to explore COVID-19 preparedness of US HHAs and compare results by urban/rural location.

designCross-sectional study. SETTING/

participantsUsing a stratified random sample of 978 HHAs, we conducted a 22-item online survey from April 10 to 17, 2020.

methodsSummary statistics were computed; open-ended narrative responses were synthesized using qualitative methods.

resultsSimilar to national data, most responding HHAs (n = 121, 12% response rate) were for-profit and located in the South. Most HHAs had infectious disease outbreaks included in their emergency preparedness plan (76%), a staff member in charge of outbreak/disaster preparedness (84%), and had provided their staff with COVID-19 education and training (97%). More urban HHAs had cared for confirmed and recovered COVID-19 patients than rural HHAs, but urban HHAs had less capacity to test for COVID-19 than rural HHAs (9% vs 21%). Most (69%) experienced patient census declines and had a current and/or anticipated supply shortage. Rural agencies were affected less than urban agencies. HHAs have already rationed (69%) or implemented extended use (55%) or limited reuse (61%) of personal protective equipment (PPE). Many HHAs reported accessing supplemental PPE from state/local resources, donations, and do-it-yourself efforts; more rural HHAs had accessed these additional resources compared with urban HHAs. CONCLUSIONS/IMPLICATIONS: This survey reveals challenges that HHAs are having in responding to the COVID-19 pandemic, particularly among urban agencies. Of greatest concern are the declines in patient census, which drastically affect agency revenue, and the shortages of PPE and disinfectants. Without proper protection, HHA clinicians are at risk of self-exposure and viral transmission to patients and vulnerable family members.

Indexed as

Outcome Assessment, Health CareAgedAged, 80 and overCivil DefenseCoronavirus InfectionsCOVID-19Cross-Sectional StudiesDisease OutbreaksFemaleHome Care AgenciesHumansInfection ControlMalePandemicsPersonal Protective EquipmentPneumonia, ViralCOVID-19Home healthcareinfection preventionpandemic preparedness

Identifiers

PMID32674820
PMCPMC7269929
OpenAlexW3033652792

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.