ArticleHealth affairs (Project Hope)2023
The Home Care Workforce Has Not Kept Pace With Growth In Home And Community-Based Services.
Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 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
35 citing papers in PubMed, 48 citations in OpenAlex.
- Rural and Urban Differences in the Trends in Supply of Home Care Workers From 2015 to 2024.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Rural-Urban Variability in Home and Community-Based Service Use Among Veterans.Journal of the American Geriatrics Society · 2026Article
- Challenges With Accessing Home Care Among Medicaid Beneficiaries.JAMA network open · 2026Article
- Evaluating the Affordable Care Act's Long-Term Services and Supports Rebalancing Programs.Health services research · 2026Article
- Understanding Patient and Care Partner Experiences With Rehabilitation After Hospitalization for Advanced Heart Failure: "I Was Thinking I'd Just Be Like I Was Before I Got This".Physical therapy · 2026Article
- Reimagining U.S. social care policy: a commentary on Medicaid strategies to better support individuals with dementia.Frontiers in dementia · 2026Article
- The Future Availability of Family Caregivers: Implications for Late-Life Care Gaps.Population research and policy review · 2026Article
- Drivers to Stay or to Leave: Perceptions of the Nursing Work Environment Across Diverse Healthcare Sectors.Journal of nursing management · 2026Article
- Use of Paid Family Care in the Community: National Trends Among Older Adults With Functional Impairment, 2011-2022.Journal of the American Medical Directors Association · 2025Article
- Who chooses consumer-directed personal care? Characterizing users and switchers under New York Medicaid.Health affairs scholar · 2025Article
- Home care workforce participation and household co-residence with people with LTSS needs.Health affairs scholar · 2025Article
- Managed Long-Term Services and Supports and Caregiving Among Dually Enrolled Older Adults.JAMA network open · 2025Article
- Support for Care Economy Policies by Political Affiliation and Caregiving Responsibilities.JAMA health forum · 2025Article
- Consumer-Directed Personal Care in the New York Metropolitan Area: Trends in Use From 2017 to 2022.Journal of the American Medical Directors Association · 2025Article
- The dementia care workforce: Essential to care but large research gaps exist.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Review
- "Too few, too far away, for what is paid": Consumer voices about the personal assistance worker crisis.Disability and health journal · 2025Article
- Increasing expenditures on home- and community-based services: Do home care workers benefit?Health services research · 2025Article
- Long-Term Care Services and Supports Needed for Successful Aging-in-Place: A Critical Review.Annual review of public health · 2025Review
- Supporting the home care workforce across the Southern United States: impetus, exploration, and policy strategies.Health affairs scholar · 2025Article
- The Impact of an Intergenerational Service Learning Program on Psychological Distress for Homebound Older Adults.Journal of gerontological social work · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
Home and community-based services (HCBS) are the predominant approach to delivering long-term services and supports in the US, but there are growing numbers of reports of worker shortages in this industry. Medicaid, the primary payer for long-term services and supports, has expanded HCBS coverage, resulting in a shift in the services' provision out of institutions and into homes. Yet it is unknown whether home care workforce growth has kept up with the increased use of these services. Using data from the American Community Survey and the Henry J. Kaiser Family Foundation, we compared trends in the size of the home care workforce with data on Medicaid HCBS participation between 2008 and 2020. The home care workforce grew from approximately 840,000 to 1.22 million workers between 2008 and 2013. After 2013, growth slowed, ultimately reaching 1.42 million workers in 2019. In contrast, the number of Medicaid HCBS participants grew continuously from 2008 to 2020, with accelerated growth between 2013 and 2020. As a consequence, the number of home care workers per 100 HCBS participants declined by 11.6 percent between 2013 and 2019, with preliminary estimates suggesting that further declines occurred in 2020. Improving access to HCBS will require not just expanded insurance coverage but also new workforce investments.
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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.