Evidence map›Paper›PMID 42377338›Full record

ArticlePuerto Rico health sciences journal2026

The Current State of Home Health Care in Puerto Rico.

Jasmin R Martinez, Ashley M Chastain, Uduwanage G E Perera, Robert Weech-Maldonado, Patricia W Stone, Jingjing Shang

Abstract readComparative Study
In one paragraph

Article in Puerto Rico health sciences journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Jasmin R MartinezColumbia University School of Nursing, Center for Health Policy, New York, NY; Columbia University Mailman School of Public Health, Department of Epidemiology, New York, NY.
Ashley M ChastainColumbia University School of Nursing, Center for Health Policy, New York, NY.
Uduwanage G E PereraColumbia University School of Nursing, Center for Health Policy, New York, NY.
Robert Weech-MaldonadoUniversity of Alabama at Birmingham, School of Health Professions, Department of Health Services Administration, Birmingham, AL.
Patricia W StoneColumbia University School of Nursing, Center for Health Policy, New York, NY.
Jingjing ShangColumbia University School of Nursing, Center for Health Policy, New York, NY.

Funding

Infection Prevention in Home Health Care (InHOME)R01NR016865 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING, STONE, PATRICIA W. · 2017 to 2025
$6.4M
ImpAct of COVID-19 on CaRe TransitOns and Health OutcomeS for Vulnerable PopulationS in Nursing Homes and Home HealthCARE Agencies (ACROSS-CARE)R01AG074492 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING, STONE, PATRICIA W. · 2021 to 2024
$3.2M
NIA NIH HHS R01 AG074492NINR NIH HHS R01 NR016865
6 · The paper itself

Abstract

objectiveAssess home health care (HHC) agency coverage in Puerto Rico (PR), a U.S. territory, and compare PR agencies with those in the U.S. (excluding PR) and in a subset of counties outside of PR with high Puerto Rican populations (CHPRPs).

methodsPR HHC coverage was mapped using data from 2020 U.S. Census ZIP Code Tabulation Area (ZCTA) and publicly available Centers for Medicare and Medicaid Services (CMS) files. Descriptive statistics on HHC agencies, patients and Medicare beneficiaries were calculated from publicly available CMS data. Pearson's χ2, Fisher's exact, or t tests were used to compare PR agencies with U.S. (excluding PR) and CHPRP agencies.

resultsNearly all PR ZCTAs were served by ≥7 HHC agencies. Compared with U.S. and CHPRP agencies, those in PR have higher nonprofit ownership, higher Medicare Advantage (MA) enrollment, and better fall prevention and quality of patient care, but lower performance in timely HHC initiation, patient influenza vaccination, and patient experience.

conclusionPR HHC agencies excel in patient improvement metrics, with opportunities to strengthen patient experience and preventive care. Future research should examine factors underlying observed differences, and MA enrollee access to and use of HHC.

Indexed as

Home Care AgenciesHome Care ServicesCenters for Medicare and Medicaid Services, U.S.HumansMedicareOwnershipPuerto RicoUnited StatesCare qualityDisparitiesHome health careMedicare

Identifiers

PMID42377338
PMCPMC13503042

What OpenQuestion holds

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Registered trials

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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.