{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:23:19Z","timestamp":1791494599550,"version":"4.3.4"},"reference-count":29,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T00:00:00Z","timestamp":1781913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"NIMHD","doi-asserted-by":"publisher","award":["R01MD017719"],"award-info":[{"award-number":["R01MD017719"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jamda.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American Medical Directors Association"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jamda.2026.106397","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T21:18:58Z","timestamp":1785791938000},"page":"106397","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Disparities in Timely Access to Postoperative Home Health Care and Functional Recovery After Joint Replacement by Rurality and Dual Eligibility"],"prefix":"10.1016","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0125-6759","authenticated-orcid":false,"given":"Amit","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Falvey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Adhikari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ace","family":"Adamson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiral","family":"Master","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Markee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Magel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinav","family":"Alakshendra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amol","family":"Karmarkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jamda.2026.106397_bib2","series-title":"Report to the Congress: Medicare and the Health Care Delivery System","year":"2025"},{"key":"10.1016\/j.jamda.2026.106397_bib3","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1016\/j.arth.2015.11.044","article-title":"Discharge destination after total joint arthroplasty: an analysis of postdischarge outcomes, placement risk factors, and recent trends","volume":"31","author":"Keswani","year":"2016","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.jamda.2026.106397_bib7","doi-asserted-by":"crossref","DOI":"10.1093\/ptj\/pzad123","article-title":"Association between hospital participation in value-based programs and timely initiation of post-acute home health care, functional recovery, and hospital readmission after joint replacement","volume":"103","author":"Roy","year":"2023","journal-title":"Phys Ther"},{"key":"10.1016\/j.jamda.2026.106397_bib8","doi-asserted-by":"crossref","first-page":"1728","DOI":"10.2106\/JBJS.17.01667","article-title":"Home-Health-Care physical therapy improves early functional recovery of Medicare beneficiaries after total knee arthroplasty","volume":"100","author":"Falvey","year":"2018","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jamda.2026.106397_bib9","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.22382","article-title":"Association of discharge to home vs institutional postacute care with outcomes after lower extremity joint replacement","volume":"3","author":"Burke","year":"2020","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jamda.2026.106397_bib10","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1016\/j.apmr.2012.12.024","article-title":"Rehabilitation in home care is associated with functional improvement and preferred discharge","volume":"94","author":"Cook","year":"2013","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.jamda.2026.106397_bib11","doi-asserted-by":"crossref","DOI":"10.1093\/ptj\/pzac170","article-title":"Effect of variation in early rehabilitation on hospital readmission after hip fracture","volume":"103","author":"Kumar","year":"2023","journal-title":"Phys Ther"},{"key":"10.1016\/j.jamda.2026.106397_bib12","doi-asserted-by":"crossref","DOI":"10.1093\/ptj\/pzab313","article-title":"Impact of hospital-based rehabilitation services on discharge to the community by value-based payment programs after joint replacement surgery","volume":"102","author":"Kumar","year":"2022","journal-title":"Phys Ther"},{"key":"10.1016\/j.jamda.2026.106397_bib13","author":"Ochieng"},{"key":"10.1016\/j.jamda.2026.106397_bib14","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1097\/MLR.0000000000002150","article-title":"Differences in initiation and receipt of home health care: traditional Medicare versus Medicare advantage","volume":"63","author":"Chen","year":"2025","journal-title":"Med Care"},{"key":"10.1016\/j.jamda.2026.106397_bib15","doi-asserted-by":"crossref","first-page":"S32","DOI":"10.1016\/j.arth.2022.01.014","article-title":"Does dual-eligible Medicare\/Medicaid insurance status as a surrogate for socioeconomic status compromise total knee arthroplasty outcomes?","volume":"37","author":"Koressel","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.jamda.2026.106397_bib16","doi-asserted-by":"crossref","first-page":"2120","DOI":"10.2106\/JBJS.20.00246","article-title":"Geographic variation and disparities in total joint replacement use for Medicare beneficiaries: 2009 to 2017","volume":"102","author":"Thirukumaran","year":"2020","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jamda.2026.106397_bib17","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.11858","article-title":"Association of the comprehensive care for joint replacement model with disparities in the use of total hip and total knee replacement","volume":"4","author":"Thirukumaran","year":"2021","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jamda.2026.106397_bib18","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1080\/01621424.2023.2206368","article-title":"Home health services for minorities in urban and rural areas with Alzheimer's and related dementia","volume":"42","author":"Karmarkar","year":"2023","journal-title":"Home Health Care Serv Q"},{"key":"10.1016\/j.jamda.2026.106397_bib19","doi-asserted-by":"crossref","first-page":"4037","DOI":"10.1002\/alz.13139","article-title":"Examining the role of race and quality of home health agencies in delayed initiation of home health services for individuals with Alzheimer's Disease and Related Dementias (ADRD)","volume":"19","author":"Karmarkar","year":"2023","journal-title":"Alzheimers Dement"},{"key":"10.1016\/j.jamda.2026.106397_bib20","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18115623","article-title":"Timing of home health care initiation and 30-day rehospitalizations among Medicare beneficiaries with diabetes by race and ethnicity","volume":"18","author":"Smith","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.jamda.2026.106397_bib21","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.0368","article-title":"Trends in postacute care use and outcomes after hip and knee replacements in dual-eligible Medicare and Medicaid beneficiaries, 2013-2016","volume":"3","author":"Li","year":"2020","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jamda.2026.106397_bib22","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"von Elm","year":"2007","journal-title":"Lancet"},{"key":"10.1016\/j.jamda.2026.106397_bib24","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.12241","article-title":"Assessment of racial disparities in mortality rates among older adults living in US rural vs urban counties from 1968 to 2016","volume":"3","author":"Ferdows","year":"2020","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jamda.2026.106397_bib25","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1016\/j.apmr.2021.12.031","article-title":"Inpatient rehabilitation facility change in self-care and change in mobility quality measures: development and reliability and validity testing","volume":"103","author":"Deutsch","year":"2022","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.jamda.2026.106397_bib26","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1097\/PHM.0000000000002568","article-title":"Do Medicare inpatient rehabilitation facility patients' self-care and mobility outcomes vary by dual eligibility status, race and ethnicity, rural residence, socioeconomic status, and living alone?","volume":"104","author":"Deutsch","year":"2025","journal-title":"Am J Phys Med Rehabil"},{"key":"10.1016\/j.jamda.2026.106397_bib27","first-page":"16","article-title":"Use of post-acute care after hospital discharge in urban and rural hospitals","volume":"5","author":"Burke","year":"2017","journal-title":"Am J Accountable Care"},{"key":"10.1016\/j.jamda.2026.106397_bib28","doi-asserted-by":"crossref","DOI":"10.1093\/ptj\/pzae074","article-title":"Beyond discharge disposition: a scoping review on sociodemographic disparities in rehabilitation use after hip and knee arthroplasty","volume":"104","author":"Bove","year":"2024","journal-title":"Phys Ther"},{"key":"10.1016\/j.jamda.2026.106397_bib29","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1002\/acr.20477","article-title":"Disparities in post-acute rehabilitation care for joint replacement","volume":"63","author":"Freburger","year":"2011","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"10.1016\/j.jamda.2026.106397_bib30","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2019.18738","article-title":"Assessment of rural-urban differences in postacute care utilization and outcomes among older US adults","volume":"3","author":"Kosar","year":"2020","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jamda.2026.106397_bib31","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1377\/hlthaff.2021.01408","article-title":"Out of reach: inequities in the use of high-quality home health agencies","volume":"41","author":"Fashaw-Walters","year":"2022","journal-title":"Health Aff (Millwood)"},{"key":"10.1016\/j.jamda.2026.106397_bib32","author":"Freed"},{"key":"10.1016\/j.jamda.2026.106397_bib33","doi-asserted-by":"crossref","DOI":"10.1093\/ptj\/pzab189","article-title":"Poor recovery of activities-of-daily-living function is associated with higher rates of postsurgical hospitalization after total joint arthroplasty","volume":"101","author":"Falvey","year":"2021","journal-title":"Phys Ther"},{"key":"10.1016\/j.jamda.2026.106397_bib34","doi-asserted-by":"crossref","first-page":"2171","DOI":"10.1111\/j.1532-5415.2008.02023.x","article-title":"Recovery of activities of daily living in older adults after hospitalization for acute medical illness","volume":"56","author":"Boyd","year":"2008","journal-title":"J Am Geriatr Soc"}],"container-title":["Journal of the American Medical Directors Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861026002872?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861026002872?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T09:34:11Z","timestamp":1788514451000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1525861026002872"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":29,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S1525861026002872"],"URL":"https:\/\/doi.org\/10.1016\/j.jamda.2026.106397","relation":{},"ISSN":["1525-8610"],"issn-type":[{"value":"1525-8610","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Disparities in Timely Access to Postoperative Home Health Care and Functional Recovery After Joint Replacement by Rurality and Dual Eligibility","name":"articletitle","label":"Article Title"},{"value":"Journal of the American Medical Directors Association","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jamda.2026.106397","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc. on behalf of Post-Acute and Long-Term Care Medical Association.","name":"copyright","label":"Copyright"}],"article-number":"106397"}}