{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T13:25:05Z","timestamp":1783689905608,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T00:00:00Z","timestamp":1681430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["[R21 AG065753]"],"award-info":[{"award-number":["[R21 AG065753]"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p>Home health (HH) may be an important source of care for those with early\u2010stage\/undiagnosed Alzheimer's Disease and Related Dementias (ADRD), but little is known regarding prevalence or predictors of incident ADRD diagnosis following HH.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Using 2010\u20132012 linked Master Beneficiary Summary File (MBSF) and HH assessment data for 40,596 Medicare HH patients, we model incident ADRD diagnosis within 1 year of HH via multivariable logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Among HH patients without diagnosed ADRD, 10% received an incident diagnosis within 1 year. In adjusted models, patients were three times more likely to receive an incident ADRD diagnosis if they had HH clinician\u2010reported impaired overall cognition (compared to patients without reported impairment) and twice as likely if they were community\u2010referred (compared to hospital\u2010referred patients).<\/jats:p><\/jats:sec><jats:sec><jats:title>DISCUSSION<\/jats:title><jats:p>There is a pressing need to develop tailored HH clinical pathways and protect access to community\u2010referred HH to support community\u2010living older adults with early\u2010stage\/undiagnosed ADRD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alz.13061","type":"journal-article","created":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T06:04:49Z","timestamp":1681452289000},"page":"3936-3945","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Prevalence and predictors of incident ADRD diagnosis following a Medicare home health episode"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3356-1897","authenticated-orcid":false,"given":"Julia G.","family":"Burgdorf","sequence":"first","affiliation":[{"name":"Center for Home Care Policy &amp; Research at VNS Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy M.","family":"Mroz","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer M.","family":"Reckrey","sequence":"additional","affiliation":[{"name":"Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yolanda","family":"Barr\u00f3n","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy &amp; Research at VNS Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Ryvicker","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy &amp; Research at VNS Health  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2019.01.010"},{"key":"e_1_2_8_3_1","volume-title":"Meeting the Challenge of Caring for Persons Living with Dementia and Their Care Partners and Caregivers: A Way Forward","author":"National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Board on Health Sciences Policy; Committee on Care Interventions for Individuals with Dementia and Their Caregivers","year":"2021"},{"key":"e_1_2_8_4_1","unstructured":"ThachNT WienerJM.An Overview of Long\u2010Term Services and Supports and Medicaid: Final Report.US Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation;2018. 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