Disparities in Successful Discharge to the Community Following Use of Medicare Home Health by Level of Neighborhood Socioeconomic Disadvantage

Daniel Jung, Janani Rajbhandari-Thapa, Zhuo Chen

Research output: Journal PublicationArticlepeer-review

1 Citation (Scopus)

Abstract

Considering the importance of social and structural support and resources in recovering health, where people reside could lead to differences in health outcome in Medicare home health care. We used the 2019 Outcome and Assessment Information Set and Area Deprivation Index to examine the association between neighborhood context and successful discharge to community among older Medicare home health care users. Based on the multivariable logistic regression (OR: 0.84; 95% CI, 0.83–0.85) and conditional logistic regression models stratified by home health agency (OR: 0.95; 95% CI, 0.94–0.95), patients living in the most disadvantaged neighborhoods were less likely to experience successful discharge to community than others. Furthermore, the predicted probability of successful discharge to community decreased as the percentage of patients from the most disadvantaged neighborhoods within a home health agency increased. Policymakers should consider using area-level interventions and supports to reduce disparities in Medicare home health care.

Original languageEnglish
Pages (from-to)2119-2128
Number of pages10
JournalJournal of Applied Gerontology
Volume42
Issue number10
DOIs
Publication statusPublished - Oct 2023
Externally publishedYes

Keywords

  • health disparities
  • home care
  • quality of care
  • socioeconomic status

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

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