ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2022
Associations Between Use of Paid Help and Care Experiences Among Medicare-Medicaid Enrolled Older Adults With and Without Dementia.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 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
14 citing papers in PubMed.
- Medicaid funds direct care for one in four dual-eligible older adults nationally, but state variation is 4-fold.Health affairs scholar · 2026Article
- Dementia Severity Associated With Unmet Caregiving Needs During Skilled Home Health Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Associations of Place-Based Factors with Service Use and Consumer-Reported Unmet Service Needs Among Older Adults Using Publicly Funded Home- and Community-Based Services in the United States.International journal of environmental research and public health · 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
- Geographic Proximity of Family Members and the Provision of Unpaid and Paid Care for Older Adults Not Living With a Spouse: A Cross-Sectional Study.Health science reports · 2025Article
- Medicaid Education and Eligibility Planning for Caregivers: Website Usability and Validation Study.JMIR aging · 2025Article
- The relationship between home and community-based services utilization and self-reported quality of life for community-dwelling and assisted living residents with and without dementia.Innovation in aging · 2025Article
- Family Care Partners and Paid Caregivers: National Estimates of Role-Sharing in Home Care.The Gerontologist · 2024Article
- Racial and ethnic differences in unmet needs among older adults receiving publicly-funded home and community-based services.Journal of the American Geriatrics Society · 2024Article
- The Role of Place in Person- and Family-Oriented Long-Term Services and Supports.The Milbank quarterly · 2023Article
- Paid Care for People with Functional Impairment and Serious Illness: Results from the Health and Retirement Study.Journal of general internal medicine · 2023Article
- Interdisciplinary Aging Research to Address Health Disparities in Alzheimer's Disease and Related Dementias: A Scientific Training Program for Early-Career Scholars.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- Applying Apriori algorithm to explore long-term care services usage status-Variables based on the combination of patients with dementia and their caregivers.Frontiers in psychology · 2022Article
- The relationship between Medicaid policy and realized access to home- and community-based services.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
5 authors.
Funding
Abstract
objectivesCommunity-living older Medicare and Medicaid enrollees ("dual-enrollees") have high care needs and commonly receive paid and unpaid long-term services and supports (LTSS) to help with routine activities. Little is known about whether receiving paid help or individuals' state and neighborhood environmental context ("LTSS environment") relates to dual-enrollees' care experiences.
methodsWe examine a sample of n = 979 community-dwelling dual-enrollees with disabilities from 2011 to 2015 National Health and Aging Trends Study, linked to measures of neighborhood disadvantage and state Medicaid home and community-based services (HCBS) generosity. Logistic regression models stratified by dementia status assess associations between paid help and: (a) adverse consequences due to unmet care needs, and (b) participation restrictions in valued activities, among dual-enrollees with and without dementia, adjusting for individual and LTSS environmental characteristics.
resultsUse of paid help was greater for those with (versus without) dementia (46.9% vs. 37.8%). Neighborhood disadvantage was associated with greater use of paid help among dual-enrollees living with dementia. High state Medicaid HCBS generosity was associated with the use of paid help, regardless of dementia status. Dual-enrollees with dementia receiving paid help had higher odds of experiencing adverse consequences due to unmet need (adjusted odds ratio = 2.05; 95% confidence interval 1.16-3.61; p = .02)-no significant associations were observed for participation restrictions. Use of paid help and LTSS environment were not significantly associated with care experiences for dual-enrollees without dementia. DISCUSSION: Findings highlight the complexities of caring for dual-enrollees, particularly those with dementia, and emphasize the need to strengthen the delivery of paid care with considerations for the LTSS environment.
Indexed as
Identifiers
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.