Table 1.
Characteristics associated with receipt of home-based clinical care among community-dwelling persons with dementia
| Overall (2898 person years) | HBMC (395 person years) | Podiatry (345 person years) | Other FFS home-based clinical care (359 person years) | SHHC (1052 person years) | |
|---|---|---|---|---|---|
| Demographics | |||||
| Race/ethnicity | |||||
| White, Non-Hispanic | 74.5% | 79.6% | 82.8% | 75.4% | 75.5% |
| Black, Non-Hispanic | 10.9% | 12.8% | 10.3% | 13.4% | 12.8% |
| Other, Non-Hispanic | 5.1% | NR | NR | NR | 2.9% |
| Hispanic/Latino | 9.5% | NR* | NR* | NR | 8.8% |
| Female | 58.0% | 68.5%* | 63.3% | 65.9% | 60.6% |
| Age | |||||
| <75 | 13.1% | 10.5% | 6.5% | 10.2% | 11.0% |
| 75–79 | 16.9% | 8.6% | 9.1% | 12.1% | 15.9% |
| 80–84 | 24.6% | 19.2% | 21.4% | 22.3% | 24.5% |
| 85+ | 45.3% | 61.7% | 63.0%* | 55.3% | 48.6% |
| Education: >=High school | 61.5% | 68.1% | 76.3%* | 65.4% | 62.5% |
| Income below poverty | 42.0% | 40.3% | 37.7% | 49.2% | 43.4% |
| Medicaid | 27.8% | 29.9% | 28.2% | 37.0%* | 29.9% |
| Clinical | |||||
| self-reported chronic condition count (Mean) | 2.0 | 2.1 | 2.0 | 2.2* | 2.2* |
| Charlson comorbidity index (Mean) | 2.1 | 2.4* | 2.4* | 2.5* | 2.7* |
| Number of ADL impairments | |||||
| 0 | 31.3% | 20.7%* | 21.6% | 16.8%* | 19.9%* |
| 1–2 | 33.0% | 34.5%* | 32.0% | 37.7%* | 35.0%* |
| 3+ | 35.7% | 44.9%* | 46.4%* | 45.4%* | 45.1%* |
| Any hospital admission 12 months after survey | 36.3% | 48.9%* | 47.6%* | 55.0%* | 60.4%* |
| Environmental | |||||
| Residential Care, excl. NH | 20.5% | 52.2%* | 61.8%* | 42.8%* | 23.0% |
| Lives alone | 35.4% | 57.5%* | 60.1%* | 49.8%* | 35.4% |
| Lives in metropolitan area | 83.8% | 92.9%* | 94.3%* | 92.0%* | 85.1% |
| Region | |||||
| Northeast | 17.8% | 26.4% | 27.4% | 28.2% | 19.5% |
| Midwest | 17.2% | 17.0% | 22.0% | 15.0%* | 17.5% |
| South | 44.4% | 42.8%* | 32.8%* | 41.4%* | 47.2% |
| West | 20.6% | 13.7%* | 17.8%* | 15.4%* | 15.8%* |
| Year of NHATS interview | |||||
| 2011 | 18.5% | 14.3% | 15.8% | 13.9% | 17.3% |
| 2012 | 17.0% | 17.7%* | 16.3% | 15.4% | 17.4% |
| 2013 | 16.8% | 16.8% | 13.5% | 17.5%* | 15.6% |
| 2014 | 16.3% | 18.9%* | 17.0% | 15.9% | 15.1% |
| 2015 | 15.3% | 15.9% | 20.2%* | 18.4%* | 17.5%* |
| 2016 | 16.0% | 16.3% | 17.1% | 18.8% | 17.1% |
Repeat observations per individuals; all estimates survey weighted; NR = not reportable per NHATS/CMS guidelines; Referent category = white race, age <75, 0 ADLs, Northeast region, 2011 Year of NHATS interview; HBMC= Home based medical care; SHHC= Skilled home healthcare; self-reported chronic condition count rabged from 0–8 based on the following medical conditions: heart attack, stroke, cancer, heart disease, hypertension, diabetes, lung disease, depression; Charlson Comorbidity Index determined based on 6 months claims prior to NHATS interview;
p<.05 compares those who receive vs those who did not receive each service type using bivariate logistic regression analysis