ArticleInternational journal of environmental research and public health2021
Timing of Home Health Care Initiation and 30-Day Rehospitalizations among Medicare Beneficiaries with Diabetes by Race and Ethnicity.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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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.
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Who cites it
18 citing papers in PubMed, 22 citations in OpenAlex.
- Hospital at Home vs conventional hospitalization: good clinical outcomes with lower cost and nosocomial complications.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Observational
- HOME, the heart of healing: advancing patient safety beyond the hospital.BMJ open quality · 2026Article
- Racial and Ethnic Disparities in Accessing High-Quality Home Health Care among Older Adults with and Without Dementia.Journal of the American Medical Directors Association · 2025Article
- Prior authorization and utilization management for post-acute home health in Medicare Advantage: the motivations, players, processes, unique challenges, and impacts on patient care.Health affairs scholar · 2025Article
- Home Health Care and Place of Death in Medicare Beneficiaries With and Without Dementia.The Gerontologist · 2024Article
- A Systematic Review of Recent Studies on Hospital Readmissions of Patients With Diabetes.Cureus · 2024Review
- Article
- Getting to the root: Examining within and between home health agency inequities in functional improvement.Health services research · 2024Article
- Claims-Based vs Agency-Reported Patient Outcomes Among Home Health Agencies, 2013-2019.JAMA network open · 2024Article
- Associations Between Postdischarge Care and Cognitive Impairment-Related Hospital Readmissions for Ketoacidosis and Severe Hypoglycemia in Adults With Diabetes.Diabetes care · 2024Article
- Association Between Hospital Participation in Value-Based Programs and Timely Initiation of Post-Acute Home Health Care, Functional Recovery, and Hospital Readmission After Joint Replacement.Physical therapy · 2023Article
- Home health services for minorities in urban and rural areas with Alzheimer's and related dementia.Home health care services quarterly · 2023Article
- Examining the role of race and quality of home health agencies in delayed initiation of home health services for individuals with Alzheimer's disease and related dementias (ADRD).Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Impact of the physical therapy-managed spinal orthoses program on cost of care in the hospital setting: a retrospective interrupted time-series study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022Article
- Risk of Rehospitalization or Emergency Department Visit is Significantly Higher for Patients who Receive Their First Home Health Care Nursing Visit Later than 2 Days After Hospital Discharge.Journal of the American Medical Directors Association · 2022Article
- A Healthcare Paradigm for Deriving Knowledge Using Online Consumers' Feedback.Healthcare (Basel, Switzerland) · 2022Article
- Assessing the influence of patient language preference on 30 day hospital readmission risk from home health care: A retrospective analysis.International journal of nursing studies · 2022Article
- Risk factors for inpatient facility admission among home health care patients with diabetes.Nursing outlookArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Older adults with diabetes are at elevated risk of complications following hospitalization. Home health care services mitigate the risk of adverse events and facilitate a safe transition home. In the United States, when home health care services are prescribed, federal guidelines require they begin within two days of hospital discharge. This study examined the association between timing of home health care initiation and 30-day rehospitalization outcomes in a cohort of 786,734 Medicare beneficiaries following a diabetes-related index hospitalization admission during 2015. Of these patients, 26.6% were discharged to home health care. To evaluate the association between timing of home health care initiation and 30-day rehospitalizations, multivariate logistic regression models including patient demographics, clinical and geographic variables, and neighborhood socioeconomic variables were used. Inverse probability-weighted propensity scores were incorporated into the analysis to account for potential confounding between the timing of home health care initiation and the outcome in the cohort. Compared to the patients who received home health care within the recommended first two days, the patients who received delayed services (3-7 days after discharge) had higher odds of rehospitalization (OR, 1.28; 95% CI, 1.25-1.32). Among the patients who received late services (8-14 days after discharge), the odds of rehospitalization were four times greater than among the patients receiving services within two days (OR, 4.12; 95% CI, 3.97-4.28). Timely initiation of home health care following diabetes-related hospitalizations is one strategy to improve outcomes.
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Registered trials
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