{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:53:21Z","timestamp":1791636801393,"version":"4.3.4"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["AG066605"],"award-info":[{"award-number":["AG066605"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG044281"],"award-info":[{"award-number":["P30AG044281"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Home-based medical care (HBMC), longitudinal medical care provided in a patient's home led by physicians or advanced practice providers, addresses complex medical and social needs of seriously ill older adults, particularly those with dementia. We examined whether HBMC use is associated with hospice enrollment and length of stay and whether this varies by dementia status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data from 100% fee-for-service Medicare decedents in 2019, who were eligible for HBMC prior to death. Models used inverse probability weighting, adjusting for clinical, demographic, and regional characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>HBMC users had greater odds of hospice use (odds ratio: 1.34; 95% CI: 1.33-1.35) compared with nonusers, regardless of dementia status. For hospice enrollees, HBMC use minimized both ultra-short (&amp;lt;3 days) and prolonged (&amp;gt;180 days) stays, with a stronger reduction in short stays for patients with dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>As more older adults age in the community and hospice services expand to support patients with complex illnesses such as dementia, HBMC may offer a valuable strategy for effectively navigating prognosis uncertainty and the complexities of hospice eligibility requirements and enrollment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/haschl\/qxag251","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T19:18:26Z","timestamp":1789672706000},"source":"Crossref","is-referenced-by-count":0,"title":["Closing the hospice gap: the value of home-based medical care"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6270-4423","authenticated-orcid":false,"given":"Katherine","family":"Ornstein","sequence":"first","affiliation":[{"name":"Center for Equity in Aging, School of Nursing, Johns Hopkins University , Baltimore, MD 21205 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Leff","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University , Baltimore, MD 21224 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7972-7071","authenticated-orcid":false,"given":"Maggie","family":"Salinger","sequence":"additional","affiliation":[{"name":"Department of Medicine, Warren Alpert Medical School at Brown University , Providence, RI 02903 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer M","family":"Reckrey","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine and Palliative Care, Department of Medicine, NYU Grossman School of Medicine , New York, NY 10017 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9166-693X","authenticated-orcid":false,"given":"Bian","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai , New York, NY 10029 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zainab Toteh","family":"Osakwe","sequence":"additional","affiliation":[{"name":"College of Nursing and Public Health, Adelphi University , Garden City, NY 11530 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1824-1542","authenticated-orcid":false,"given":"Martha","family":"Abshire Saylor","sequence":"additional","affiliation":[{"name":"Center for Equity in Aging, School of Nursing, Johns Hopkins University , Baltimore, MD 21205 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8913-3544","authenticated-orcid":false,"given":"Arushi","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai , New York, NY 10029 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3334-4542","authenticated-orcid":false,"given":"Melissa","family":"Aldridge","sequence":"additional","affiliation":[{"name":"Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai , New York, NY 10029 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5373-3011","authenticated-orcid":false,"given":"Krista","family":"Harrison","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Philip R. 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