Evidence map›Paper›PMID 40078453›Full record

ArticleHealth affairs scholar2025

Supporting the home care workforce across the Southern United States: impetus, exploration, and policy strategies.

Britt Sanderson, Sam Obbin, Kiera Williams, Stephen McCall, Matt Michaelson

Abstract read
In one paragraph

Article in Health affairs scholar, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Britt SandersonApplied Research and Analytics, Department of Population Health, Altarum Institute, Arlington, VA 22201, United States.ORCID https://orcid.org/0009-0003-7306-6721
Sam ObbinHealth Economics and Policy, Department of Population Health, Altarum Institute, Arlington, VA 22201, United States.ORCID https://orcid.org/0009-0009-4425-732X
Kiera WilliamsApplied Research and Analytics, Department of Population Health, Altarum Institute, Arlington, VA 22201, United States.ORCID https://orcid.org/0009-0004-5640-0334
Stephen McCallHealth Economics and Policy, Department of Population Health, Altarum Institute, Arlington, VA 22201, United States.ORCID https://orcid.org/0009-0001-3193-619X
Matt MichaelsonApplied Research and Analytics, Department of Population Health, Altarum Institute, Arlington, VA 22201, United States.ORCID https://orcid.org/0009-0003-8252-0041

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Southern states face severe home care labor shortages due to low wages, poor working conditions, and limited career advancement opportunities, which are exacerbated by the region's historical labor policies and economic inequalities. This study analyzed workforce size in relation to the population of older adults likely to require paid home care services, subsequently contextualizing those results using a thematic analysis of state American Rescue Plan Act section 9817 spending plans to identify trends in proposed initiatives designed to strengthen the workforce across the region. Our findings highlight significant disparities in workforce availability, with more diverse areas with higher concentrations of Hispanic, immigrant, and low-income populations exhibiting higher workforce capacity compared with less diverse regions. We also found consensus across states on the inadequacy of direct care worker wages, demonstrated by the large number of proposed reimbursement rate increases included in the state spending plans.

Indexed as

American Rescue Plan Actdirect care workforcehealth disparities: policy strategieshome- and community-based serviceshome care workforceSouthern state policy

Identifiers

PMID40078453
PMCPMC11897789

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.