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Functional outcome in home health: Do racial and ethnic minority patients with dementia fare worse?

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  • Jinjiao Wang
  • Fang Yu
  • Xueya Cai
  • Thomas V Caprio
  • Yue Li

Abstract

Objectives: Evaluate the independent and interactive effects of dementia and racial/ethnic minority status on functional outcomes during a home health (HH) admission among Medicare beneficiaries. Methods: Secondary analysis of data from the Outcome and Assessment Information Set [OASIS] and billing records in a non-profit HH agency in New York. Participants were adults ≥ 65 years old who received HH in CY 2017 with OASIS records at HH admission and HH discharge. Dementia was identified by diagnosis (ICD-10 codes) and cognitive impairment (OASIS: M1700, M1710, M1740). We used OASIS records to assess race/ethnicity (M0140) and functional status (M1800-M1870 on activities of daily living [ADL]). Functional outcome was measured as change in the composite ADL score from HH admission to HH discharge, where a negative score means improvement and a positive score means decline. Results: The sample included 4,783 patients, among whom 93.9% improved in ADLs at HH discharge. In multivariable linear regression that adjusted for HH service use and covariates (R2 = 0.23), being African American (β = 0.21, 95% confidence interval [CI]: 0.06, 0.35, p = 0.005) and having dementia (β = 0.51, 95% CI: 0.41, 0.62, p

Suggested Citation

  • Jinjiao Wang & Fang Yu & Xueya Cai & Thomas V Caprio & Yue Li, 2020. "Functional outcome in home health: Do racial and ethnic minority patients with dementia fare worse?," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-17, May.
    • Handle: RePEc:plo:pone00:0233650
    DOI: 10.1371/journal.pone.0233650
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    References listed on IDEAS

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    1. Shelley I. White-Means & Rose M. Rubin, 2004. "Is There Equity in the Home Health Care Market? Understanding Racial Patterns in the Use of Formal Home Health Care," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 59(4), pages 220-229.
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