Why home health services are provided to Alzheimer's disease patients in California's Alzheimer's disease program: an exploration.
Logistic regression is used to examine why formal home health service recommendations are made to Alzheimer's disease patients (N = 822) by staff at each of six Alzheimer's Disease Diagnostic and Treatment Centers (ADDTCs) in California. Patients are selected on the basis of their having Alzheimer's disease, and not having any physical co-morbid health problems noted at the time of their clinical assessment. Using Medicare Part A to pay for care, previous home health use, having regular access to and prior use of a primary care physician, prior hospitalization, client agitation and apathy, and family's social isolation were significant predictors of the latent propensity to recommend formal home health services to members of this sample.
Ginther
S D
SD
Department of Social and Behavioral Sciences, University of California, San Francisco 94143.
Humphers-Ginther
S E
SE
Fox
P J
PJ
Miller
L
L
D000368:Aged; D000544:Alzheimer Disease / Q000628:therapy*; D002140:California; D016009:Chi-Square Distribution; D003266:Continuity of Patient Care / Q000706:statistics & numerical data; D003625:Data Collection; D005260:Female; D005544:Forecasting; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008511:Medicine; D011787:Quality of Health Care; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D013038:Specialization