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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Longitudinal Research02:20

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Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Health Information Technology (HIT)
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Continuing Care01:25

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
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Tracking long-term services and supports rebalancing through workforce data.

Ari Ne'eman1

  • 1Harvard University, Cambridge, Massachusetts, USA.

Health Services Research
|February 22, 2024
PubMed
Summary
This summary is machine-generated.

Long-term services and supports (LTSS) workforce data show a significant shift towards community-based settings for older adults. This data offers a reliable alternative to administrative claims for tracking LTSS rebalancing and utilization trends.

Keywords:
agingdisabilitylong‐term services and supportsworkforce

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Area of Science:

  • Gerontology
  • Health Services Research
  • Public Health Policy

Background:

  • Long-term services and supports (LTSS) are crucial for aging populations and individuals with disabilities.
  • Understanding workforce trends is key to assessing the shift from institutional to community-based care.
  • Existing methods for tracking LTSS rebalancing face challenges with data comparability.

Purpose of the Study:

  • To analyze long-term services and supports (LTSS) workforce trends from 2008 to 2022.
  • To evaluate the utility of LTSS workforce data as a measure of progress in shifting resources to community-based settings.
  • To compare workforce supply measures with LTSS utilization and spending data.

Main Methods:

  • Utilized American Community Survey data from 2008 to 2022, encompassing over 336,000 LTSS workers and 3 million individuals with LTSS needs.
  • Constructed measures of LTSS rebalancing and workforce supply per capita.
  • Employed state fixed effects regressions to analyze the relationship between workforce supply and LTSS utilization.

Main Results:

  • The proportion of the LTSS workforce in community settings increased from 44% to 58% between 2008 and 2022.
  • The community workforce grew substantially until 2013, then stagnated, while the institutional workforce declined, accelerating during the COVID-19 pandemic.
  • Workforce supply measures strongly correlated with LTSS utilization for older adults but not for younger individuals with disabilities.

Conclusions:

  • LTSS workforce data effectively tracks utilization changes for older adults, providing a comparable alternative to administrative claims.
  • This approach bypasses comparability issues arising from coding changes and managed care shifts.
  • Further research is needed on workforce trends for younger LTSS consumers.