The Association between Primary Care Practices' Structural Capabilities and Hospitalizations among Persons Living with Dementia.
J Appl Gerontol
; 42(7): 1414-1423, 2023 07.
Article
in En
| MEDLINE
| ID: mdl-36738162
ABSTRACT
Background:
Persons living with dementia (PLWD) are more likely to be hospitalized than individuals without dementia. Little is known about key features (i.e., structural capabilities) in primary care practices where PLWD receive care. This study assessed the relationship between structural capabilities (i.e., care coordination, community integration, and reminder systems) and hospitalizations among PLWD.Methods:
We conducted a secondary analysis of cross-sectional data from 5001 PLWD in 192 practices and used three datasets nurse practitioner surveys, Medicare claims, and Minimum Data Set. Using generalized estimating equations, we evaluated the association between structural capabilities and hospitalizations.Results:
PLWD who received care from practices with care coordination were less likely to have hospitalizations (OR = 0.62, p < .05). No statistically significant associations were observed between community integration and reminder systems and hospitalizations.Conclusion:
Primary care practices need to tailor structural capabilities to address the needs of PLWD to reduce hospitalizations.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Medicare
/
Dementia
Type of study:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Aged
/
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
J Appl Gerontol
Year:
2023
Document type:
Article
Affiliation country: