Editorial Material
Public, Environmental & Occupational Health
Cara Kiernan Fallon, Madison K. Kilbride
Summary: Older adults face increased risk and lower recovery rates in combating Covid-19, lacking appropriate resources and support. Existing ethical and public health frameworks do not provide sufficient guidance for older patients managing illness at home.
PREVENTIVE MEDICINE
(2021)
Article
Geriatrics & Gerontology
Alex D. Federman, Abraham Brody, Christine S. Ritchie, Natalia Egorova, Arushi Arora, Sara Lubetsky, Ruchir Goswami, Maria Peralta, Jenny M. Reckrey, Kenneth Boockvar, Shivani Shah, Katherine A. Ornstein, Bruce Leff, Linda DeCherrie, Albert L. Siu
Summary: This study compared home-based primary care (HBPC) with office-based primary care in a randomized controlled trial for homebound older adults. The results showed that HBPC was associated with higher satisfaction with care and lower hospitalization rates, but also higher death rates compared to office-based primary care.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Geriatrics & Gerontology
Alex D. Federman, Abraham Brody, Christine S. Ritchie, Natalia Egorova, Arushi Arora, Sara Lubetsky, Ruchir Goswami, Maria Peralta, Jenny M. Reckrey, Kenneth Boockvar, Shivani Shah, Katherine A. Ornstein, Bruce Leff, Linda DeCherrie, Albert L. Siu
Summary: Home-based primary care (HBPC) is associated with higher satisfaction with care and lower hospitalization rates, but also more deaths compared to office-based primary care. Further research is needed to understand the reasons for the higher death rate among HBPC patients and the effects of HBPC on quality of life and symptom burden, given the trial's early termination.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Geriatrics & Gerontology
Tamar Wyte-Lake, Chelsea Manheim, Suzanne M. Gillespie, Aram Dobalian, Leah M. Haverhals
Summary: This study examines the experiences of Department of Veterans Affairs Home Based Primary Care (HBPC) team members during the COVID-19 vaccine rollout. The study highlights key themes including communication and education, advocating for prioritization of HBPC Veterans, and logistical challenges. The findings have implications for supporting homebound populations in national vaccine programs.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Geriatrics & Gerontology
Rui Zhou, Joyce Cheng, Shuangshuang Wang, Nengliang Yao
Summary: The study found that the home health care model benefits Chinese older adults in terms of convenience and affordability. However, there are opportunities for improvement, such as expanding service scope and enhancing care quality.
Article
Gerontology
Karen A. Abrashkin, Jenny Zhang, Asantewaa Poku
Summary: The study showed decreased acute and post-acute care utilization among homebound older adults during the COVID-19 pandemic, while maintaining high levels of connectedness to the AIM program. It suggests that AIM programs can provide support to this population in the home setting during a pandemic.
Article
Immunology
Elba Mauriz, Jose P. Fernandez-Vazquez, Cristina Diez-Flecha, Sofia Reguero-Celada, Tania Fernandez-Villa, Ana Fernandez-Somoano, Joan A. Cayla, Jesus A. Lozano-Garcia, Ana M. Vazquez-Casares, Vicente Martin-Sanchez
Summary: This study investigated the impact of a COVID-19 outbreak in a long-term care facility for the elderly after the initial vaccination. The results showed that 75.0% of residents and 56.3% of workers tested positive 4 days after vaccination. Among the 68 vaccinated individuals, 95.58% of the elderly residents were infected with symptoms, with 34.9% requiring hospitalization and 25.8% dying.
Article
Health Care Sciences & Services
Rachel D'Amico, Patrick M. Schnell, Randi Foraker, J. Nwando Olayiwola, Daniel E. Jonas, Seuli Bose
Summary: This study aimed to characterize sociodemographic differences in primary care via telehealth compared to in-person office visits before and during the COVID-19 pandemic. The study found that during the pandemic, patients who self-identified as Asian and Nepali, Medicare-insured patients, and patients living in areas with low socioeconomic status were less likely to use telehealth. These disparities persisted throughout the year. Therefore, it is important to reassess the use of telehealth and advocate for policy changes to improve equity.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Gerontology
Sarah LaFave, Brittany Drazich, Orla C. Sheehan, Bruce Leff, Sarah L. Szanton, Mattan Schuchman
Summary: The study found that home-based primary care offers peace of mind for older adults, supports aging in place, facilitates provider rapport building, and meets significant nonmedical needs of patients and caregivers. Teams developing or expanding on HBPC programs should prioritize access to providers, rapport building with patients and families, and supporting patients' and caregivers' nonmedical needs.
JOURNAL OF APPLIED GERONTOLOGY
(2021)
Article
Public, Environmental & Occupational Health
Qian Huang, Melissa B. Gilkey, Peyton Thompson, Brigid K. Grabert, Susan Alton Dailey, Noel T. Brewer
Summary: This research examines the disparity in Covid-19 vaccine uptake between physicians and nurses. The study finds that physicians have higher vaccine uptake compared to nurses and advanced practice providers, which can be attributed to their stronger confidence in vaccination and more positive social experiences. The findings suggest that increasing confidence in vaccination, promoting positive social norms, providing recommendations, and improving access to vaccines can help enhance vaccination rates.
SOCIAL SCIENCE & MEDICINE
(2022)
Article
Gerontology
Priscilla Yee, Katharina V. Echt, Alayne D. Markland, Lisa Zubkoff
Summary: This qualitative study explores the impact of COVID-19 on older rural-dwelling veterans and their caregivers in terms of their overall health and the utilization of telehealth. The findings suggest that despite the presence of co-morbidities, the majority of participants reported minimal adverse impacts of COVID-19 on their physical and mental health. Additionally, the study found variations in the utilization of telehealth among the participants.
JOURNAL OF APPLIED GERONTOLOGY
(2023)
Article
Medicine, General & Internal
Mansoura Ismail, Anwar Joudeh, Marwa Neshnash, Nourhan Metwally, Mai Hassan Seif, Ahmed Al Nuaimi, Muna Mehdar Alsaadi, Samya Al Abdulla, Nagah Abdel Aziz Selim
Summary: The majority of primary care physicians in Qatar were satisfied with the rapid development of COVID-19 guidelines in response to the pandemic, but some expressed concerns about the quality and availability of Personal Protective Equipment. Younger female physicians were less satisfied with psychological support.
Article
Health Care Sciences & Services
Elizabeth Hulen, Avery Laliberte, Sarah Ono, Somnath Saha, Samuel T. Edwards
Summary: The study found that HBPC patients are often socially isolated and face multiple layers of medical and social complexity, affecting their ability to access clinic-based care. Providers highlighted the importance of observing and providing care in patients' homes, filling in instrumental support gaps that are not solely medical. Flexible care designs provided by HBPC are necessary to address the social complexity of patients.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Primary Health Care
Leif I. Solberg, Caroline S. Carlin, Kevin A. Peterson
Summary: This study investigated the care management processes in 269 primary care clinics in Minnesota in 2017, 2019, and 2021. The results showed that care management process scores increased from 2019 to 2021 in clinics that were part of large organizations, despite the disruptions caused by the pandemic. However, there was no improvement in clinics from smaller groups.
ANNALS OF FAMILY MEDICINE
(2023)
Article
Health Care Sciences & Services
Melissa B. Gilkey, Wei Yi Kong, Qian Huang, Brigid K. Grabert, Peyton Thompson, Noel T. Brewer
Summary: The study found that most PCPs support adolescent telehealth, believing it improves access to care and provides high-quality nursing. They generally support continuing to offer adolescent telehealth after the pandemic ends, as well as the reimbursement of telehealth visits by health insurance companies.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Nursing
Komal P. Murali, Gary Yu, John D. Merriman, Allison Vorderstrasse, Amy S. Kelley, Abraham A. Brody
Summary: This study used latent class analysis to identify subgroups of seriously ill older adults receiving palliative care based on comorbidity burden and mortality risk. The findings showed distinct subgroups with different combinations of chronic conditions.
WESTERN JOURNAL OF NURSING RESEARCH
(2023)
Article
Geriatrics & Gerontology
Ksenia Gorbenko, Abigail Baim-Lance, Emily Franzosa, Heather Wurtz, Gabrielle Schiller, Sybil Masse, Katherine A. Ornstein, Alex Federman, David M. Levine, Linda DeCherrie, Bruce Leff, Albert Siu
Summary: This study aims to describe the national-level implementation processes and strategies of the Acute Hospital Care at Home (AHCaH) waiver program and identify the challenges and facilitators of launching or adapting home hospital care to meet waiver requirements. The study found that the implementation of the AHCaH waiver is a complex process that requires coordination with internal and external partners, and considerations of potential barriers and strategies.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Editorial Material
Geriatrics & Gerontology
Abraham A. Brody, Eve Dorfman, Christopher G. Caspers, Tina R. Sadarangani
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Geriatrics & Gerontology
Alex D. Federman, Abraham Brody, Christine S. Ritchie, Natalia Egorova, Arushi Arora, Sara Lubetsky, Ruchir Goswami, Maria Peralta, Jenny M. Reckrey, Kenneth Boockvar, Shivani Shah, Katherine A. Ornstein, Bruce Leff, Linda DeCherrie, Albert L. Siu
Summary: This study compared home-based primary care (HBPC) with office-based primary care in a randomized controlled trial for homebound older adults. The results showed that HBPC was associated with higher satisfaction with care and lower hospitalization rates, but also higher death rates compared to office-based primary care.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Gerontology
Jonelle Boafo, Daniel David, Bei Wu, Abraham A. Brody, Tina Sadarangani
Summary: This study aims to identify person-centered care strategies used by center staff to manage behavioral and psychological symptoms of dementia (BPSD). The results demonstrate that staff incorporate evidence-based person-centered approaches to AD/ADRD care, individualizing their approach to each individual within a group setting.
JOURNAL OF APPLIED GERONTOLOGY
(2023)
Article
Geriatrics & Gerontology
Elizabeth R. R. Stevens, Abraham A. A. Brody, Fayron Epps, Danetta H. H. Sloan, Scott E. E. Sherman
Summary: Fostering diverse, equitable, and inclusive collaborative research networks is crucial for advancing aging research. However, current strategies have shown only moderate progress in diversifying the research workforce. To improve upon current efforts, using meta-research to rigorously evaluate and identify effective strategies for promoting diversity and collaboration is important. This study aims to describe the principles of meta-research and how they can be applied to achieve the collaboration and diversity goals in the aging research community.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Public, Environmental & Occupational Health
Ksenia Gorbenko, Kathryn Romanchuk, Franco Sagliocca, Madhu Mazumdar
Summary: This study aims to describe the barriers and facilitators of digital transformation in a hospital supply chain from the employee perspective. Through two rounds of interviews, we identified barriers to technology integration, such as silos between supply chain groups, between employees and management, and resulting from prior mergers. Facilitators of technology integration included motivation to work in supply chain, long-term vision, positive outlook, and transparent communication.
WORK-A JOURNAL OF PREVENTION ASSESSMENT & REHABILITATION
(2023)
Article
Health Care Sciences & Services
Claire K. Ankuda, Katherine A. Ornstein, Bruce Leff, Subashini Rajagopalan, Bruce Kinosian, Abraham A. Brody, Christine S. Ritchie
Summary: As more Americans age in place, it is critical to understand care delivery in the home. However, data on the range of home-based services provided by Medicare is limited. This study analyzed Medicare claims data to define a taxonomy of home-based clinical care and identify the receipt of these services. The findings show that approximately 20% of FFS Medicare beneficiaries received Medicare-funded home-based clinical care.
BMC HEALTH SERVICES RESEARCH
(2023)
Editorial Material
Geriatrics & Gerontology
Daniel David, Abraham A. Brody
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Oncology
Rebecca Liddicoat Yamarik, Laraine Ann Chiu, Mara Flannery, Kaitlyn Van Allen, Oluwaseun M. Adeyemi, Allison A. Cuthel, Abraham S. Brody, Keith Goldfeld, Deborah R. Schrag, Corita Grudzen
Summary: We conducted a 6-month telephone nursing program for persons living with advanced cancer to help them manage symptoms, coordinate care, and plan for future care. Half of the subjects completed the program, a quarter died or enrolled in hospice, 19% were lost to follow-up, and 9% withdrew from the program. White patients and those with fewer symptoms were more likely to withdraw. 83% of all patients completed some advance care planning, and 80% of patients received hospice care prior to death.
Article
Geriatrics & Gerontology
Rebecca K. F. Lassell, Shih-Yin Lin, Kimberly Convery, Jason Fletcher, Tracy Chippendale, Tessa Jones, Aditi Durga, James E. Galvin, Randall W. Rupper, Abraham A. Brody
Summary: This study aimed to investigate the neuropsychiatric symptoms (NPS) among people living with dementia from diverse racial and ethnic groups. NPS were found to be more prevalent and severe in individuals with higher dementia severity, and there were some differences in symptom prevalence among different racial and ethnic sub-groups.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Geriatrics & Gerontology
Alex D. Federman, Abraham Brody, Christine S. Ritchie, Natalia Egorova, Arushi Arora, Sara Lubetsky, Ruchir Goswami, Maria Peralta, Jenny M. Reckrey, Kenneth Boockvar, Shivani Shah, Katherine A. Ornstein, Bruce Leff, Linda DeCherrie, Albert L. Siu
Summary: Home-based primary care (HBPC) is associated with higher satisfaction with care and lower hospitalization rates, but also more deaths compared to office-based primary care. Further research is needed to understand the reasons for the higher death rate among HBPC patients and the effects of HBPC on quality of life and symptom burden, given the trial's early termination.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Medicine, Research & Experimental
Kevin G. Munjal, Sai Kaushik Yeturu, Hugh H. Chapin, Nadir Tan, Diana Gregoriou, Daniela Garcia, Corita Grudzen, Ula Hwang, Barbara Morano, Hayley Neher, Ksenia Gorbenko, Glen Youngblood, Anjali Misra, Staley Dietrich, Cyndi Gonzalez, Giselle Appel, Erica Jacobs, Albert Siu, Lynne D. Richardson
Summary: This study examined and intervened the risks that patients over the age of 65 face after discharge. By training emergency medical technicians (EMTs) and using two assessment checklists to evaluate patients' fall risks and comprehension of discharge instructions, the study found that the intervention was feasible and well accepted by patients. Additionally, the intervention helped patients reduce some fall hazards. The study also reported patients' readmission and revisit rates.
PILOT AND FEASIBILITY STUDIES
(2022)
Article
Computer Science, Information Systems
Ksenia Gorbenko, Afrah Mohammed, Edward I. I. Ezenwafor, Sydney Phlegar, Patrick Healy, Tamara Solly, Ingrid Nembhard, Lucy Xenophon, Cardinale Smith, Robert Freeman, David Reich, Madhu Mazumdar
Summary: This study describes the necessary adaptations for effective use of direct-to-consumer (DTC) cameras in an inpatient setting. The findings highlight the need for adjustments and improvements in technology, patient monitoring, workflows, interpersonal relationships, and infrastructure to optimize camera use.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Gerontology
Shih-Yin Lin, Catherine E. Schneider, Alycia A. Bristol, Maureen Clancy, Sara A. Sprague, Melissa Aldridge, Tara Cortes, Keith S. Goldfeld, Jean S. Kutner, Susan L. Mitchell, Joseph W. Shega, Bei Wu, Carolyn W. Zhu, Abraham A. Brody
Summary: This paper provides an example of a pilot phase for embedded pragmatic clinical trials (ePCTs) and discusses the implementation barriers and additional infrastructure and implementation strategies. Two pilot trials were conducted to refine and test a complex intervention for dementia symptom management. The results showed that the feasibility, applicability, and fidelity of the intervention surpassed the predefined milestones. The main implementation challenges were related to staff turnover, integration of materials within electronic health records, and limited research experience and infrastructure.