ArticleJournal of the American Medical Directors Association2023
Use of Home-Based Clinical Care and Long-Term Services and Supports Among Homebound Older Adults.
Article in Journal of the American Medical Directors Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The trial behind it
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Who cites it
7 citing papers in PubMed.
- Food assistance programs serve the majority of low-income, homebound older adults, yet food insecurity remains.Health affairs scholar · 2026Article
- Homebound older adults in self-care using a mobile health-assisted, person-centred care approach: study protocol for a hybrid effectiveness-implementation design.BMC primary care · 2026Article
- The Changing Landscape of the Providers of Home-Based Medical Care in Traditional Medicare.Journal of the American Geriatrics Society · 2026Article
- Preferences for home-based care services during China's long-term care market transition: evidence from a discrete choice experiment.BMC health services research · 2025Article
- The current status and influencing factors of core competencies among China's internet-based "sharing nurses" based on social-ecological system theory: a multicenter cross-sectional study.Frontiers in medicine · 2025Article
- Impact of policy reforms on hospital-at-home services: an interrupted time series analysis of Shanghai.BMC health services research · 2024Observational
- Drivers of Community-Entry Home Health Care Utilization Among Older Adults.Journal of the American Medical Directors Association · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesDescribe use of home-based clinical care and home-based long-term services and supports (LTSS) using a nationally representative sample of homebound older Medicare beneficiaries.
designCross-sectional study. SETTING AND
participantsHomebound, community-dwelling fee-for-service Medicare beneficiaries participating in the 2015 National Health and Aging Trends Study (n = 974).
methodsUse of home-based clinical care [ie, home-based medical care, skilled home health services, other home-based care (eg, podiatry)] was identified using Medicare claims. Use of home-based LTSS (ie, assistive devices, home modification, paid care, ≥40 hours/wk of family caregiving, transportation assistance, senior housing, home-delivered meals) was identified via self or proxy report. Latent class analysis was used to characterize patterns of use of home-based clinical care and LTSS.
resultsApproximately 30% of homebound participants received any home-based clinical care and about 80% received any home-based LTSS. Latent class analysis identified 3 distinct patterns of service use: class 1, High Clinical with LTSS (8.9%); class 2, Home Health Only with LTSS (44.5%); and class 3, Low Care and Services (46.6% homebound). Class 1 received extensive home-based clinical care, but their use of LTSS did not meaningfully differ from class 2. Class 3 received little home-based care of any kind. CONCLUSIONS AND IMPLICATIONS: Although home-based clinical care and LTSS utilization was common among the homebound, no single group received high levels of all care types. Many who likely need and could benefit from such services do not receive home-based support. Additional work focused on better understanding potential barriers to accessing these services and integrating home-based clinical care services with LTSS is needed.
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