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Preferences for Postacute Care at Home vs Facilities.
Geng F, McGarry BE, Rosenthal MB, Zubizarreta JR, Resch SC, Grabowski DC. Geng F, et al. Among authors: grabowski dc. JAMA Health Forum. 2024 Apr 5;5(4):e240678. doi: 10.1001/jamahealthforum.2024.0678. JAMA Health Forum. 2024. PMID: 38669031 Free PMC article.
Claims-Based vs Agency-Reported Patient Outcomes Among Home Health Agencies, 2013-2019.
Chen AC, Fu CX, Grabowski DC. Chen AC, et al. Among authors: grabowski dc. JAMA Netw Open. 2024 Apr 1;7(4):e245692. doi: 10.1001/jamanetworkopen.2024.5692. JAMA Netw Open. 2024. PMID: 38598240 Free PMC article.
IMPORTANCE: Given the growth of home health agency (HHA) care, it is important to understand whether quality reporting programs, such as star ratings, are associated with improved patient outcomes. OBJECTIVE: To assess the immediate and long-term association of the introdu …
IMPORTANCE: Given the growth of home health agency (HHA) care, it is important to understand whether quality reporting programs, such as sta …
Nursing Home Staffing: Share Of Immigrant Certified Nursing Assistants Grew As US-Born Staff Numbers Fell, 2010-21.
Jun H, Grabowski DC. Jun H, et al. Among authors: grabowski dc. Health Aff (Millwood). 2024 Jan;43(1):108-117. doi: 10.1377/hlthaff.2023.00881. Health Aff (Millwood). 2024. PMID: 38190591
In an analysis of prepandemic data, we found that nursing homes in regions with a higher share of immigrant CNAs were associated with more direct care staff hours per resident day and better nursing home quality performance. With the growing demand for long-term care, crea …
In an analysis of prepandemic data, we found that nursing homes in regions with a higher share of immigrant CNAs were associated with more d …
Changes in Care Associated With Integrating Medicare and Medicaid for Dual-Eligible Individuals.
Roberts ET, Xue L, Lovelace J, Kypriotis C, Connor KL, Liang Q, Grabowski DC. Roberts ET, et al. Among authors: grabowski dc. JAMA Health Forum. 2023 Dec 1;4(12):e234583. doi: 10.1001/jamahealthforum.2023.4583. JAMA Health Forum. 2023. PMID: 38127588 Free PMC article.
MAIN OUTCOMES AND MEASURES: Analyses examined outcomes in 4 domains: use of home- and community-based services (HCBS), care management and coordination, hospital stays and postacute care, and long-term nursing home stays. RESULTS: The study included 7967 individuals in the …
MAIN OUTCOMES AND MEASURES: Analyses examined outcomes in 4 domains: use of home- and community-based services (HCBS), care management and c …
Impact of dementia special care units for short-stay nursing home patients.
Chen AC, Epstein AM, Joynt Maddox KE, Grabowski DC, Orav EJ, Barnett ML. Chen AC, et al. Among authors: grabowski dc. J Am Geriatr Soc. 2024 Mar;72(3):767-777. doi: 10.1111/jgs.18708. Epub 2023 Dec 2. J Am Geriatr Soc. 2024. PMID: 38041834
As a counterfactual control, we compared these differences to those for non-dementia patients in the same facilities. Our primary quantity of interest was an interaction term between a patients' dementia status and the presence of a dementia-focused care tool. ...
As a counterfactual control, we compared these differences to those for non-dementia patients in the same facilities. Our primary quantity o …
Caregiving across generations: Do older adults with more grandchildren get another bite at the "sandwich" generation?
Rapp T, Jena AB, Costa-Font J, Grabowski DC. Rapp T, et al. Among authors: grabowski dc. Soc Sci Med. 2023 Oct;334:116199. doi: 10.1016/j.socscimed.2023.116199. Epub 2023 Aug 30. Soc Sci Med. 2023. PMID: 37690157 Free article.
Understanding the influence of grandchildren on long-term care use is a growing issue. Indeed, many countries, middle-aged adults provide unpaid care for aging family members, often their parents, at home. ...In conclusion, policies influencing the number of grandchildren …
Understanding the influence of grandchildren on long-term care use is a growing issue. Indeed, many countries, middle-aged adults pro …
Telemedicine Visits in US Skilled Nursing Facilities.
Ulyte A, Mehrotra A, Wilcock AD, SteelFisher GK, Grabowski DC, Barnett ML. Ulyte A, et al. Among authors: grabowski dc. JAMA Netw Open. 2023 Aug 1;6(8):e2329895. doi: 10.1001/jamanetworkopen.2023.29895. JAMA Netw Open. 2023. PMID: 37594760 Free PMC article.
DESIGN, SETTING, AND PARTICIPANTS: This cohort study used 2018 to 2022 Medicare fee-for-service claims and Minimum Data Set 3.0 records to identify short- and long-term care SNF residents. Clinician visits were grouped into routine SNF visits (ie, regular primary care with …
DESIGN, SETTING, AND PARTICIPANTS: This cohort study used 2018 to 2022 Medicare fee-for-service claims and Minimum Data Set 3.0 records to i …
Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic.
Brazier JF, Geng F, Meehan A, White EM, McGarry BE, Shield RR, Grabowski DC, Rahman M, Santostefano C, Gadbois EA. Brazier JF, et al. Among authors: grabowski dc. JAMA Netw Open. 2023 Jul 3;6(7):e2325993. doi: 10.1001/jamanetworkopen.2023.25993. JAMA Netw Open. 2023. PMID: 37498600 Free PMC article.
Their experiences provide context to quantitative analyses on aggregate nursing home census data. The short-term compensatory measures administrators used to comply with regulations and maintain operations may be detrimental to the long-term stability of this workfo …
Their experiences provide context to quantitative analyses on aggregate nursing home census data. The short-term compensatory measure …
Medicaid home and community-based services spending for older adults: Is there a "woodwork" effect?
McGarry BE, Grabowski DC. McGarry BE, et al. Among authors: grabowski dc. J Am Geriatr Soc. 2023 Oct;71(10):3143-3151. doi: 10.1111/jgs.18478. Epub 2023 Jun 16. J Am Geriatr Soc. 2023. PMID: 37326313
BACKGROUND: Although older adults prefer to age at home, Medicaid has a longstanding institutional bias in funding long-term services and supports (LTSS). Some states have resisted expanding Medicaid funding for home- and community-based services (HCBS) due to budgetary co …
BACKGROUND: Although older adults prefer to age at home, Medicaid has a longstanding institutional bias in funding long-term services …
74 results