Impact of State-Level Factors on Unmet Needs in Home and Community-Based Services
Author Information
Author(s): Romil Parikh, Tetyana Shippee, Benjamin Langworthy, Zheng Wang, Eric Jutkowitz, Stephanie Giordano
Primary Institution: University of Minnesota
Hypothesis
How do state-level factors affect consumer-reported unmet needs in home and community-based services?
Conclusion
State-level factors have a minimal impact on consumer-reported unmet needs as a quality indicator for home and community-based services.
Supporting Evidence
- A 10% increase in the proportion of managed care population in a state was significantly associated with greater odds of unmet needs in personal care, homemaker services, and transportation services.
- Model fit improved for personal care, homemaker, meal delivery, and transportation services with the addition of state-level factors.
Takeaway
This study looked at how different state rules and spending affect whether older people get the help they need at home. It found that state factors don't really change how many people report needing help.
Methodology
The study used a mixed-effects logistic regression model to analyze data from 23,333 older adults regarding their unmet needs for six home and community-based services.
Limitations
The study may not account for all factors influencing unmet needs and focuses only on specific services.
Participant Demographics
Community-dwelling older respondents aged 65 years and older.
Statistical Information
P-Value
p<0.01, p<0.001, p<0.05
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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