Journal article
Reduced Awareness of Memory Deficit is Associated With Increased Medicare Home Health Care Use in Dementia
ALZHEIMER DISEASE & ASSOCIATED DISORDERS, v 33(1), 62
Jan 2019
PMID: 30531365
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The objective of this study was to examine whether reduced awareness of memory deficits in individuals with dementia is associated with more frequent need for Medicare home health care services.
Cross-sectional analyses were conducted in a multicenter, clinic-based cohort. In total, 192 participants diagnosed with dementia and their informants were independently asked whether or not the participant demonstrated cognitive symptoms of dementia related to memory and word-finding. Participant self-awareness was measured as the discrepancy between participant and caregiver report of these symptoms. Annual Medicare home health benefit use data was obtained from Medicare claims matched by year to the Predictors study visit.
Participants that used home health services had lower awareness scores than those who did not. Awareness remained independently associated with home health use in a logistic regression adjusted for age, gender, education, caregiver relationship, global cognition, dementia subtype, and medical comorbidities.
Reduced self-awareness of memory deficits in individuals with dementia is associated with more frequent use of Medicare home health services. The disproportionate use of in-home assistance as a function of awareness level may reflect dangers faced by patients, and challenges faced by caregivers, when patients have limited awareness of their memory deficits. Current results have implications for clinical care, caregiver education, and models of health care utilization.
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Details
- Title
- Reduced Awareness of Memory Deficit is Associated With Increased Medicare Home Health Care Use in Dementia
- Creators
- Brittany DeFeis - Columbia University Irving Medical CenterSilvia Chapman - Columbia UniversityCarolyn Zhu - Icahn School of Medicine at Mount SinaiMartina Azar - Drexel University, Psychological and Brain Sciences (Psychology)Preeti Sunderaraman - Boston UniversityKatherine Ornstein - Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount SinaiYian Gu - Columbia University Irving Medical CenterStephanie Cosentino - Columbia University
- Publication Details
- ALZHEIMER DISEASE & ASSOCIATED DISORDERS, v 33(1), 62
- Publisher
- Lippincott
- Grant note
- R01 AG007370 / NIA NIH HHS K01 AG047923 / NIA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); Drexel University
- Web of Science ID
- WOS:000460401100010
- Scopus ID
- 2-s2.0-85058148032
- Other Identifier
- 991021860705604721
UN Sustainable Development Goals (SDGs)
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Source: SDGs in the Output
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Pathology