EMERGENCY DEPARTMENT USE AMONG OLDER ADULTS RECEIVING MEDICAID HOME- AND COMMUNITY-BASED SERVICES
Richard Fortinsky, Julie Robison, Dorothy Wakefield, James Grady, David Steffens, Deborah Migneault, Chae Man Lee · 2023
Read EMERGENCY DEPARTMENT USE AMONG OLDER ADULTS RECEIVING MEDICAID HOME- AND COMMUNITY-BASED SERVICES by Richard Fortinsky, Julie Robison, Dorothy Wakefield, James Grady, David Steffens, Deborah Migneault, Chae Man Lee (2023) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-10735819.txt.
Description
Richard Fortinsky and co-authors ask which older adults in a Medicaid home care program end up in the emergency department. The program helps people over 65 live at home despite disability, and an emergency visit often starts a slide toward the hospital or a nursing home. The study followed 5,651 people in Connecticut's program, checked with a uniform assessment in 2020 and 2021, and counted their emergency visits over the next 12 months in claims data.
Forty-one percent visited an emergency department at least once. Three traits raised the odds: finishing high school, stronger depressive symptoms, and carrying more chronic conditions. Non-Hispanic Asian members were the least likely to visit. The authors suggest that better handling of depression and of stacked chronic illness could cut emergency use in this group.
Catalog record
| CREATOR | Richard Fortinsky, Julie Robison, Dorothy Wakefield, James Grady, David Steffens, Deborah Migneault, Chae Man Lee |
|---|---|
| YEAR | 2023 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 2 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |