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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Hongdao Meng--Award Winner, MPH and Bruce Friedman, PhD. Department of Community and Preventive Medicine, University of Rochester, Box 644, Rochester, NY 14642, 585-248-8770, hongdao_meng@urmc.rochester.edu
Home health care use has long been seen as a possible substitute of institutional long-term care. As part of a Medicare demonstration, "A Randomized Controlled Trial of Primary and Consumer-Directed Care for People with Chronic Illness" (CMS No. 95-C-90467/2-01), we collected home health care utilization data on 1609 chronically ill Medicare Beneficiaries prospectively for two years. Each participant filled out a daily health care journal on various aspects of their home health care use, including physician home visit, nurse practitioner/physician assistant visit, public health/community health/visiting nurse visit, home health aide/personal care visit, social worker visit, physical/speech/occupational/respiratory therapist visit, RN/LPN hours, personal care aide /home health aide hours, companion care/respite care hours etc. All patients will have been followed for two years by June 24, 2002. We plan to describe the baseline characteristics for all participants, their prior home health care use and their current home health care use. We plan to report the percentage of people who use each of the afore mentioned services, the mean, median, mode, range, standard deviation of each service use, the number of days when there is some use, etc. Factors associated with the amount of home health care use will be identified and evaluated. Policy implications will be discussed.
Learning Objectives:
Keywords: Medicare, Home Care
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.