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Long term admissions to home health agencies
 — a life table analysis
Author(s)Vicki A Freedman
Journal titleThe Gerontologist, vol 39, no 1, February 1999
Pagespp 16-24
KeywordsTherapeutic services [domiciliary] ; Home nursing ; Admission ; United States of America.
AnnotationData is used from the 1992 National Home and Hospice Care Survey (NHHCS), the first national US survey of home health agencies and their patients. Of 26 million older Americans admitted to home health agencies in 1992, 36% received care for at least 3 months, 22% for at least 6 months, and 15% for at least one year. Analyses suggest that one-year limits on Medicare's home health benefit would have affected a relatively small percentage of new admissions (less than 13%) but would have amounted to 300,000 or so beneficiaries in 1992. In contrast, proposals to limit Medicaid would have affected a more substantial proportion of home health agency admissions (about a quarter), but only a relatively small number of older Americans (30,000 in 1992). Such length of use limits would also disproportionately affect those at highest risk for nursing home admission: very old, unmarried, minority women with relatively unstable chronic conditions. (RH).
Accession NumberCPA-990331221 A
ClassmarkN3: N4: QKH: 7T

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