{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T16:47:46Z","timestamp":1777308466732,"version":"3.51.4"},"reference-count":44,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T00:00:00Z","timestamp":1609718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R01HS026893"],"award-info":[{"award-number":["R01HS026893"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND\/OBJECTIVES<\/jats:title>\n                    <jats:p>Care\u2010partner support affects outcomes among assisted living (AL) residents. Yet, little is known about care\u2010partner support and its effects on hospitalization during post\u2010acute care transitions. This study examined the variation in care\u2010partner support and its impact on hospitalizations among AL residents receiving Medicare home health (HH) services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>Analysis of national data from the Outcome and Assessment Information Set, Medicare claims, Area Health Resources File, and the Social Deprivation Index File.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>AL facilities and Medicare HH agencies in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS<\/jats:title>\n                    <jats:p>741,926 Medicare HH admissions of AL residents in 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MEASUREMENTS<\/jats:title>\n                    <jats:p>Care\u2010partner support during the HH admission was measured based on the type and frequency of assistance from AL staff in seven domains (i.e., activities of daily living (ADL), instrumental ADLs, medication administration, treatment, medical equipment, home safety, and transportation). Care\u2010partner support in each domain was measured as \u201cassistance not needed\u201d (reference group), \u201cCare\u2010partner currently provides assistance,\u201d \u201ccare\u2010partner need additional training\/support to provide assistance\u201d (i.e., inadequate care\u2010partner support), and \u201ccare\u2010partner unavailable\/unlikely to provide assistance\u201d (i.e., unavailable care\u2010partner support). Outcome was time\u2010to\u2010hospitalization during the HH admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Among the 741,926 Medicare HH admissions of AL residents, inadequate care\u2010partner support was identified for all seven domains that ranged from 13.1% (for transportation) to 49.8% (for treatment), and care\u2010partner support was unavailable from 0.9% (for transportation) to 11.0% (for treatment). In Cox proportional hazard models adjusted for patient covariates and geography, compared with \u201cassistance not needed\u201d, having inadequate and unavailable care\u2010partner support was related to increased risk of hospitalization by 8.9% (treatment (hazard ratio (HR) =1.089,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001)) to 41.3% (medication administration (HR =1.413,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001)).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>For AL residents receiving HH services, having less care\u2010partner support was related to increased risk of hospitalization, particularly regarding medication administration, medical equipment, and transportation\/advocacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17005","type":"journal-article","created":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T13:59:38Z","timestamp":1609768778000},"page":"1231-1239","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Care\u2010Partner Support and Hospitalization in Assisted Living During Transitional Home Health Care"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5629-8497","authenticated-orcid":false,"given":"Jinjiao","family":"Wang","sequence":"first","affiliation":[{"name":"School of Nursing University of Rochester  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meiling","family":"Ying","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences University of Rochester  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helena","family":"Temkin\u2010Greener","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences University of Rochester  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas V.","family":"Caprio","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Rochester Medical Center  Rochester New York USA"},{"name":"University of Rochester Medical Center University of Rochester Medical Home Care  Rochester New York USA"},{"name":"University of Rochester Medical Center Finger Lakes Geriatric Education Center  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9399-1987","authenticated-orcid":false,"given":"Fang","family":"Yu","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Innovation Arizona State University  Tempe Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1293-3521","authenticated-orcid":false,"given":"Adam","family":"Simning","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences University of Rochester  Rochester New York USA"},{"name":"Department of Psychiatry University of Rochester Medical Center  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeates","family":"Conwell","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Rochester Medical Center  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7592-0299","authenticated-orcid":false,"given":"Yue","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences University of Rochester  Rochester New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/43.suppl_2.107"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0000000000000147"},{"key":"e_1_2_8_4_1","first-page":"1","article-title":"Residents living in residential care facilities: United States, 2010","volume":"91","author":"Caffrey C","year":"2012","journal-title":"NCHS Data Brief"},{"key":"e_1_2_8_5_1","volume-title":"A Data Book: Health Care Spending and the Medicare Program","author":"Medicare Payment Advisory Commission","year":"2020"},{"key":"e_1_2_8_6_1","unstructured":"Centers for Medicare & Medicaid Services (CMS).What's home health care?2020.http:\/\/www.medicare.gov\/what-medicare-covers\/home-health-care\/home-health-care-what-is-it-what-to-expect.html. Accessed August 21 2020."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0233650"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.11.002"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2018.10.021"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.07.017"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558719835049"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/07370016.2018.1475799"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2019.12.021"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/47.5.662"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0714980813000469"},{"issue":"43","key":"e_1_2_8_16_1","first-page":"1","article-title":"Long\u2010term care providers and services users in the United States, 2015\u20132016. National Center for Health Statistics","volume":"3","author":"Harris\u2010Kojetin LSM","year":"2019","journal-title":"Vital Health Stat"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3928\/19404921-20181212-03"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12262"},{"key":"e_1_2_8_19_1","unstructured":"Centers for Medicare & Medicaid Services.OASIS data sets 2020.https:\/\/www.cms.gov\/Medicare\/Quality-Initiatives-Patient-Assessment-Instruments\/HomeHealthQualityInits\/OASIS-Data-Sets. Accessed August 21 2020."},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621424.2012.703908"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2018.12.012"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945911402847"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2013.0396"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621424.2010.534044"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000062553.63745.7A"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2011.07.018"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/NHH.0000000000000736"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2014.02.025"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1084822312453046"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2011.0243"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbu120"},{"key":"e_1_2_8_32_1","volume-title":"Residential Care Communities and Their Residents in 2010: A National Portrait. DHHS Publication No. 2016\u20101041","author":"Khatutsky G","year":"2016"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16410"},{"issue":"4","key":"e_1_2_8_34_1","first-page":"776","article-title":"State regulatory approaches for dementia care in residential care and assisted living","volume":"57","author":"Carder PC","year":"2017","journal-title":"Gerontologist"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCM.0000000000000107"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.3928\/19404921-20160930-01"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1945-1474.2003.tb01038.x"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/1084822317741622"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150132719875636"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15166"},{"key":"e_1_2_8_41_1","volume-title":"Caregiving in the United States 2020","author":"AARP and National Alliance for Caregiving","year":"2020"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.26419\/ppi.00086.001"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.3928\/19404921-20191210-01"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14547"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gny130"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.17005","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.17005","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.17005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T12:16:19Z","timestamp":1762172179000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.17005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,4]]},"references-count":44,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1111\/jgs.17005"],"URL":"https:\/\/doi.org\/10.1111\/jgs.17005","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,4]]},"assertion":[{"value":"2020-08-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}