ArticleHealth affairs (Project Hope)2022
Out Of Reach: Inequities In The Use Of High-Quality Home Health Agencies.
Article in Health affairs (Project Hope), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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.
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.
Who cites it
38 citing papers in PubMed.
- The Impact of Hurricane Harvey on Home Health Care Delivery for Medicare Beneficiaries.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Hospital-to-Home Neurological Transition Care: A Scoping Review Across Selected Chronic Neurological Disorders.Medical sciences (Basel, Switzerland) · 2026Article
- Home Health Value-Based Purchasing and Postacute Home Health Visits Among Older Adults With Dementia.JAMA network open · 2026Observational
- 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 · 2026Article
- Quality of Medicare Skilled Home Health for People Living With Dementia in the US: National Patterns and Implications.Journal of the American Geriatrics Society · 2026Article
- Race and Ethnicity, Neighborhood Social Deprivation and Medicare Home Health Agency Quality for Persons Living With Serious Illness.The American journal of hospice & palliative care · 2026Article
- Associations between Social Determinants of Health and Posthospitalization Rehabilitation among Critically Ill Older Adults.Annals of the American Thoracic Society · 2026Observational
- Neighborhood Deprivation and Days Spent at Home After Fall-Related Hip Fracture.JAMA network open · 2025Article
- Medicare Advantage reimbursement structures impact home health delivery and outcomes.The American journal of managed care · 2025Article
- Black-White Differences in Long-Term Services and Supports (LTSS) Deserts: Implications for Unmet Care Needs.Journal of the American Medical Directors Association · 2025Article
- Does the Veterans Health Administration Purchase High-Quality Home Health Care?Journal of the American Medical Directors Association · 2025Observational
- 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
- Trends in the Use of Medicare Home Health Care among Congregate Living Residents.Journal of the American Medical Directors Association · 2025Article
- Long-Term Care Services and Supports Needed for Successful Aging-in-Place: A Critical Review.Annual review of public health · 2025Review
- 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
- 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
- Instruments for racial health equity: a scoping review of structural racism measurement, 2019-2021.Epidemiologic reviews · 2024Article
- Potential US Health Care Savings Based on Clinician Views of Feasible Site-of-Care Shifts.JAMA network open · 2024Article
- Home Health Quality among Hospitalized Older Adults with Alzheimer's Disease and Related Dementia: Association with Race/Ethnicity and Dual Eligibility before and during the COVID Pandemic.Journal of the American Medical Directors Association · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Patients receiving home health services from high-quality home health agencies often experience fewer adverse outcomes (for example, hospitalizations) than patients receiving services from low-quality agencies. Using administrative data from 2016 and regression analysis, we examined individual- and neighborhood-level racial, ethnic, and socioeconomic factors associated with the use of high-quality home health agencies. We found that Black and Hispanic home health patients had a 2.2-percentage-point and a 2.5-percentage-point lower adjusted probability of high-quality agency use, respectively, compared with their White counterparts within the same neighborhoods. Low-income patients had a 1.2-percentage-point lower adjusted probability of high-quality agency use compared with their higher-income counterparts, whereas home health patients residing in neighborhoods with higher proportions of marginalized residents had a lower adjusted probability of high-quality agency use. Some 40-77 percent of the disparities in high-quality agency use were attributable to neighborhood-level factors. Ameliorating these inequities will require policies that dismantle structural and institutional barriers related to residential segregation.
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