Home and Community-Based Service Use Among Veterans with Dementia
Author Information
Author(s): Quach Emma, Moo Lauren, Franzosa Emily, Ni Pengsheng, Zhao Shibei, Hartmann Christine
Primary Institution: VA Bedford Healthcare System
Hypothesis
The study investigates how home and community-based service use varies among veterans with dementia based on their comorbidity levels and health care team type.
Conclusion
Case-managed health care teams significantly influence the use of community supports for veterans with dementia and comorbidities.
Supporting Evidence
- Home Based Primary Care and dementia-focused specialty care were more consistently associated with HCBS use than geriatrics-based primary care.
- Implementation of case management faced more challenges within outpatient primary care teams.
Takeaway
This study shows that veterans with dementia who have other health issues get more help from community services when they have a good health care team.
Methodology
The study analyzed 2019 data from the Veterans Health Administration to compare HCBS use among patients with dementia based on their health care team and comorbidity levels.
Limitations
The study may not account for all factors influencing service use and is limited to veterans.
Participant Demographics
Veterans with dementia, categorized by comorbidity levels (< 4 or ≥ 4).
Digital Object Identifier (DOI)
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