{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T21:23:34Z","timestamp":1767907414056,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T00:00:00Z","timestamp":1709596800000},"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":["3R01HS026599\u201002S1"],"award-info":[{"award-number":["3R01HS026599\u201002S1"]}],"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":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Skilled home healthcare (HH) provided in\u2010person care to older adults during the COVID\u201019 pandemic, yet little is known about the pandemic's impact on HH care transition patterns. We investigated pandemic impact on (1) HH service volume; (2) population characteristics; and (3) care transition patterns for older adults receiving HH services after hospital or skilled nursing facility (SNF) discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective, cohort, comparative study of recently hospitalized older adults (\u2265\u200965\u2009years) receiving HH services after hospital or SNF discharge at two large HH agencies in Baltimore and New York City (NYC) 1\u2010year pre\u2010 and 1\u2010year post\u2010pandemic onset. We used the Outcome and Assessment Information Set (OASIS) and service use records to examine HH utilization, patient characteristics, visit timeliness, medication issues, and 30\u2010day emergency department (ED) visit and rehospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across sites, admissions to HH declined by 23% in the pandemic's first year. Compared to the year prior, older adults receiving HH services during the first year of the pandemic were more likely to be younger, have worse mental, respiratory, and functional status in some areas, and be assessed by HH providers as having higher risk of rehospitalization. Thirty\u2010day rehospitalization rates were lower during the first year of the pandemic. COVID\u2010positive HH patients had lower odds of 30\u2010day ED visit or rehospitalization. At the NYC site, extended duration between discharge and first HH visit was associated with reduced 30\u2010day ED visit or rehospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>HH patient characteristics and utilization were distinct in Baltimore versus NYC in the initial year of the COVID\u201019 pandemic. Study findings suggest some older adults who needed HH may not have received it, since the decrease in HH services occurred as SNF use decreased nationally. Findings demonstrate the importance of understanding HH agency responsiveness during public health emergencies to ensure older adults' access to care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18839","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T06:03:51Z","timestamp":1709618631000},"page":"1079-1087","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Characterizing changes to older adults' care transition patterns from hospital to home care in the initial year of\n                    <scp>COVID<\/scp>\n                    \u201019"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3224-3942","authenticated-orcid":false,"given":"Alicia I.","family":"Arbaje","sequence":"first","affiliation":[{"name":"Division of Geriatric Medicine and Gerontology, Department of Medicine, Center for Transformative Geriatric Research Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Department of Health Policy and Management Johns Hopkins University Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Armstrong Institute Center for Health Care Human Factors Johns Hopkins Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yea\u2010Jen","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Johns Hopkins University Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zehui","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Johns Hopkins University Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0160-8029","authenticated-orcid":false,"given":"Sylvan","family":"Greyson","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine and Gerontology, Department of Medicine, Center for Transformative Geriatric Research Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayse P.","family":"Gurses","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Johns Hopkins University Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Armstrong Institute Center for Health Care Human Factors Johns Hopkins Medicine  Baltimore Maryland USA"},{"name":"Department of Anesthesiology and Critical Care Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Keller","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Johns Hopkins University Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Division of Infectious Diseases, Department of Medicine Johns Hopkins School of Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jill","family":"Marsteller","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Johns Hopkins University Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn H.","family":"Bowles","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health Sciences, NewCourtland Center for Transitions and Health, School of Nursing University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Center for Home Care Policy &amp; Research VNS Health  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret V.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy &amp; Research VNS Health  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sasha","family":"Vergez","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy &amp; Research VNS Health  New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Harbison","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine and Gerontology, Department of Medicine, Center for Transformative Geriatric Research Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dawn","family":"Hohl","sequence":"additional","affiliation":[{"name":"Johns Hopkins Home Care Group  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Carl","sequence":"additional","affiliation":[{"name":"Johns Hopkins Home Care Group  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce","family":"Leff","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine and Gerontology, Department of Medicine, Center for Transformative Geriatric Research Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Department of Health Policy and Management Johns Hopkins University Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Department of Community and Public Health Johns Hopkins School of Nursing  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2023.107627"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.1849"},{"key":"e_1_2_10_4_1","volume-title":"Summary of Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report","year":"2010"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134\u201020221206\u201002"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010022\u201002907\u2010w"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/10848223211001307"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.22230"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621424.2012.703908"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621424.2010.534044"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs.2009.037895"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/25160435231199975"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.1241"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1084822319876608"},{"key":"e_1_2_10_15_1","first-page":"194","volume-title":"Geriatrics Review Syllabus: A Core Curriculum in Geriatric Medicine","author":"Arbaje AI","year":"2019"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/07334648231161925"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnq105"},{"key":"e_1_2_10_18_1","volume-title":"Powerpoint Presentation","author":"Arbaje A","year":"2008"},{"key":"e_1_2_10_19_1","unstructured":"COVID\u201019: Data Summary(2020).https:\/\/www1.nyc.gov\/site\/doh\/covid\/covid-19-data.page. 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