Observational studyJournal of general internal medicine2023
Patterns of Healthcare Utilization and Spending Among Homebound Older Adults in the USA: an Observational Study.
Observational study in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 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
11 citing papers in PubMed, 16 citations in OpenAlex.
- Correlates of Homebound Status by Rural/Urban Location, Socio-Demographic Characteristics, and Health Status.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Utilization Patterns Among Heterogeneous Subgroups of Homebound Older Adults: A Latent Class Analysis.Journal of the American Geriatrics Society · 2026Observational
- Impact of an Intergenerational Service Learning Program on Goal Attainment Among Homebound Older Adults:: A Multi-Site Community Study.Delaware journal of public health · 2026Article
- Associations of Homebound State in Older Adults With Neighborhood Social Cohesion.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- The Changing Landscape of the Providers of Home-Based Medical Care in Traditional Medicare.Journal of the American Geriatrics Society · 2026Article
- Home Healthcare Needs and Characteristics of Patients with Serious Illnesses Who Use Hospital-Affiliated Home-Based Medical Care in Korea.Yonsei medical journal · 2026Observational
- Longitudinal associations of time-varying homeboundness and life satisfaction after traumatic brain injury.Rehabilitation psychology · 2025Article
- The quality of home-based primary care delivered by nurse practitioners: A national Medicare claims analysis.Journal of the American Geriatrics Society · 2024Observational
- Prevalence of cognitive impairment in home health physical therapy.Journal of the American Geriatrics Society · 2024Article
- The heterogeneity of the homebound: A latent class analysis of a national sample of homebound older adults.Journal of the American Geriatrics Society · 2023Article
- Factors Associated With Subjective Wellbeing in Community-Dwelling Homebound Older Adults With Diabetes in the US.Sage open agingArticle
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 at 2 institutions in 1 country.
Funding
Abstract
backgroundHomebound older adults have complex social, medical, and financial needs, but little is known about their healthcare utilization and spending.
objectiveTo characterize healthcare utilization and spending among homebound older adults.
designCohort study using National Health and Aging Trends Study data linked to Medicare Fee-for-Service (FFS) claims data.
participantsAdults aged 70 years and older with Medicare FFS coverage (n = 6468). MAIN MEASURES: In a person-year analysis, survey-weighted rates and adjusted marginal differences in inpatient, outpatient, and emergency department utilization and spending 12 months post-interview were calculated by homebound status, defined as reporting never or rarely (no more than 1 day/week) leaving home in the last month. KEY
resultsCompared to the non-homebound, homebound observations had lower annual unadjusted rates of accessing primary care (60.9% vs 71.9%, p < 0.001) and specialist care (61.0% vs 74.9%, p < 0.001) and higher annual rates of emergency department use (54.0% vs 32.6%, p < 0.001) and hospitalization (39.8% vs 19.8%, p < 0.001). Total annual Medicare spending was $11,346 higher among the homebound compared to the non-homebound (p < 0.001). In a single year analysis (2015), homebound older adults accounted for 11.0% of Medicare spending among those over 70 despite making up only 5.7% of this population. 13.6% of the homebound were in the 95
conclusionsHomebound older adults use more hospital-based care and less outpatient care than the non-homebound, contributing to higher levels of overall Medicare spending.
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.