ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2022
Cognitive impairment associated with greater care intensity during home health care.
Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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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.
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.
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Who cites it
13 citing papers in PubMed, 21 citations in OpenAlex.
- Patient-Driven Grouping Model and Home Health Use Among Traditional Medicare Beneficiaries.Journal of the American Medical Directors Association · 2026Article
- Match Rates Between Home Health Assessment and Medicare Claims Data.JAMA network open · 2026Article
- Community-Entry Home Health Made Up Nearly Half Of Home Health Episodes And Spending In Traditional Medicare, 2017-21.Health affairs (Project Hope) · 2026Article
- The role of impaired vision and declined cognition in falls and fall-related risk factors among older people receiving home care in Finland-a cross-sectional register study.European journal of ageing · 2025Article
- Skilled home healthcare utilization and outcomes for older adults with dementia: A scoping review.Journal of the American Geriatrics Society · 2025Article
- Discharge disposition for home health care patients with Alzheimer's disease and related dementia: The role of living arrangements and rural living.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Prevalence of cognitive impairment in home health physical therapy.Journal of the American Geriatrics Society · 2024Article
- Identifying Medicare beneficiaries with Alzheimer's disease and related dementia using home health OASIS assessments.Journal of the American Geriatrics Society · 2023Article
- Prevalence and predictors of incident ADRD diagnosis following a Medicare home health episode.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Advancing the Research-to-Policy and Practice Pipeline in Aging and Dementia Care.The Public policy and aging report · 2023Article
- Analysis of Functional Recovery in Older Adults Discharged to Skilled Nursing Facilities and Then Home.JAMA network open · 2022Article
- Patient cognitive impairment associated with higher home health care delivery costs.Health services research · 2022Article
- Cognitive impairment among medicare home health patients: comparing available measures.Home health care services quarterlyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIn Medicare-funded home health care (HHC), one in three patients has cognitive impairment (CI), but little is known about the care intensity they receive in this setting. Recent HHC reimbursement changes fail to adjust for patient CI, potentially creating a financial disincentive to caring for these individuals.
methodsThis cohort study included a nationally representative sample of 1214 Medicare HHC patients between 2011 and 2016. Multivariable logistic and negative binomial regressions modelled the relationship between patient CI and care intensity-measured as the number and type of visits received during HHC and likelihood of receiving multiple successive HHC episodes.
resultsPatients with CI had 45% (P < .05) greater odds of receiving multiple successive HHC episodes and received an additional 2.82 total (P < .001), 1.39 nursing (P = .003), 0.72 physical therapy (P = .03), and 0.60 occupational therapy visits (P = .01) during the index HHC episode. DISCUSSION: Recent HHC reimbursement changes do not reflect the more intensive care needs of patients with CI.
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What OpenQuestion holds
Registered trials
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.