National Healthcare Quality and Disparities Report
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大象APPResearch Studies
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Research Studies is a compilation of published research articles funded by 大象APPor authored by 大象APPresearchers.
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1 to 4 of 4 Research Studies DisplayedZimbroff RM, Deardorff WJ, Song S
Use of a financial incentive code for in-home COVID-19 vaccination of homebound older adults.
This cross-sectional study evaluated uptake of the Healthcare Common Procedure Coding System code M0201-- designed to incentivize in-home COVID-19 vaccination for homebound fee-for-service Medicare beneficiaries -- to inform future in-home preventive care policy. Data from the CMS Provider Utilization and Payment Data Physician & Other Practitioners dataset indicated that M0201 was used predominantly by pharmacies and in metropolitan areas in the first 6 months after implementation and may incentivize mass immunizers who have resources to increase the volume of in-home vaccinations.
AHRQ-funded; HS026383.
Citation: Zimbroff RM, Deardorff WJ, Song S .
Use of a financial incentive code for in-home COVID-19 vaccination of homebound older adults.
JAMA 2024 Jul 16; 332(3):252-54. doi: 10.1001/jama.2024.9673..
Keywords: COVID-19, Vaccination, Home Healthcare, Elderly
Gustavson AM, Horstman MJ, Cogswell JA
Caregiver recruitment strategies for interventions designed to optimize transitions from hospital to home: lessons from a randomized trial.
This article described different recruitment processes and compared diversity in recruitment rates within the context of a care recipient's hospitalization. The findings showed that rates for in-person versus virtual family caregiver recruitment were 28% and 23%, respectively; family caregivers recruited virtually were more likely to be younger, white, have education levels beyond high school, and not be a spouse or significant other to the care recipient. The authors concluded that future work is needed to identify the modality and timing of family caregiver recruitment to maximize rates and enhance the representativeness of the population for equitable impact.
AHRQ-funded; HS026379.
Citation: Gustavson AM, Horstman MJ, Cogswell JA .
Caregiver recruitment strategies for interventions designed to optimize transitions from hospital to home: lessons from a randomized trial.
Trials 2024 Jul 4; 25(1):454. doi: 10.1186/s13063-024-08288-2..
Keywords: Caregiving, Transitions of Care, Home Healthcare, COVID-19
Arbaje AI, Hsu YJ, Zhou Z
Characterizing changes to older adults' care transition patterns from hospital to home care in the initial year of COVID-19.
A retrospective cohort study examining the impact of COVID-19 on home healthcare (HH) services for older adults in Baltimore and New York City found a 23% decline in HH admissions during the first year of the pandemic. Compared to the prior year, patients receiving HH services during the pandemic were more likely to be younger, have greater medical complexities, and be assessed as having higher rehospitalization risk. Despite this, 30-day rehospitalization rates were lower during the pandemic, particularly for COVID-positive patients. Notably, delays in initiating HH services after discharge were associated with reduced emergency department visits and rehospitalizations in New York City. These findings highlight the pandemic's impact on both the utilization and characteristics of patients receiving HH services, suggesting potential unmet needs among older adults. They emphasize the importance of understanding HH agency responsiveness during public health crises to ensure continued access to care for this vulnerable population.
AHRQ-funded; HS026599.
Citation: Arbaje AI, Hsu YJ, Zhou Z .
Characterizing changes to older adults' care transition patterns from hospital to home care in the initial year of COVID-19.
J Am Geriatr Soc 2024 Apr; 72(4):1079-87. doi: 10.1111/jgs.18839..
Keywords: Elderly, COVID-19, Transitions of Care, Home Healthcare
Keeney T
Physical therapy in the COVID-19 pandemic: forging a paradigm shift for rehabilitation in acute care.
This point-of-view article discusses the importance of physical therapy for COVID-19 survivors in home and community-based settings as well as in post-acute care facilities, concluding that it is necessary to react to new and difficult circumstances with growth and self-advocacy in order to forge a future characterized by intensive skilled rehabilitation services in the inpatient setting, simultaneously benefiting the health care systems and the patient populations.
AHRQ-funded; HS000011.
Citation: Keeney T .
Physical therapy in the COVID-19 pandemic: forging a paradigm shift for rehabilitation in acute care.
Phys Ther 2020 Aug 12;100(8):1265-67. doi: 10.1093/ptj/pzaa097..
Keywords: Rehabilitation, COVID-19, Transitions of Care, Home Healthcare, Healthcare Delivery
