Work

The Association between Primary Care Practices’ Structural Capabilities and Hospitalizations among Persons Living with Dementia

Year: 2023

Type: article

Abstract: Background: Persons living with dementia (PLWD) are more likely to be hospitalized than individuals without dementia. Little is known about key features (i.e., structural capabilities) in primary care practices where PLWD receive care. This study assessed the relationship between structural capabilities (i.e., care coordination, community integration, and reminder systems) and hospitalizations among PLWD. Methods: We conducted a secondary analysis of cross-sectional data from 5001 PLWD in 192 practices and used three datasets: nurse practitioner surveys, Medicare claims, and Minimum Data Set. Using generalized estimating equations, we evaluated the association between structural capabilities and hospitalizations. Results: PLWD who received care from practices with care coordination were less likely to have hospitalizations ( OR = 0.62, p < .05). No statistically significant associations were observed between community integration and reminder systems and hospitalizations. Conclusion: Primary care practices need to tailor structural capabilities to address the needs of PLWD to reduce hospitalizations.

Source: Journal of Applied Gerontology

DOI: 10.1177/07334648231155444

Authors: Vaneh E. Hovsepian, Tatiana Sadak, Amelia E. Schlak, Jianfang Liu, Lusine Poghosyan

Institutions: University of Pennsylvania, University of Washington, United States Department of Veterans Affairs, Veterans Health Administration, Columbia University

Language: English

Topic: Dementia and Cognitive Impairment Research

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funders: National Institute on Aging, National Institute of Nursing Research, National Institute on Minority Health and Health Disparities