ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2023
The Role of Dementia and Residential Service Agency Characteristics in the Care Experiences of Maryland Medicaid Home and Community-Based Service Participants and Family and Unpaid Caregivers.
Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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
7 citing papers in PubMed.
- Challenges With Accessing Home Care Among Medicaid Beneficiaries.JAMA network open · 2026Article
- Improving information sharing in Medicaid home and community-based services with learning health systems: Implications for older adults and individuals living with disabilities and dementia.Learning health systems · 2025Article
- Leveraging data, technology, and policy to address disparities for persons living with Alzheimer's disease and Alzheimer's disease related dementias.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Service Utilization and Consumer-Reported Unmet Needs in Medicaid Home- and Community-Based Services for Older Adults.Journal of aging & social policy · 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
- "Caregiving is teamwork…" Information sharing in home care for older adults with disabilities living in the community.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
In Maryland, residential service agencies deliver Medicaid Home and Community-Based Services (HCBS) to older adults with disabilities through direct care workers (e.g., personal care aides). Leveraging survey data from residential service agency administrators, linked to interRAI Home Care assessments for 1144 participants, we describe agency characteristics, and participant and family caregiver experiences by participant dementia status. Most (61.7%) participants experienced low social engagement, and roughly 10.0% experienced a hospitalization or emergency room visit within 90 days. Few (14.4%) participants were served by agencies requiring dementia-specific direct care worker training, and most were served by agencies offering supplemental services, or in which direct care workers helped with health information technology (81.2% and 72.8%, respectively). Few caregivers reported negative care experiences. Participants with dementia and those served by agencies with training and support more often reported negative care experiences. Findings lay the foundation for future longitudinal and embedded interventions within Medicaid HCBS.
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Registered trials
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