Resource

Studies

The GerontologistAcute, Post-acute, and Primary Care Utilization in a Home-Based Primary Care Program During COVID-19: (February, 2021) – Changes in care utilization by persons in advanced illness management (AIM) programs demonstrate decreased acute and post-acute utilization, while maintaining high levels of connectedness among a cohort of homebound older adults during the COVID-19 pandemic compared with 1 year prior.

CJASN – The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis: (12/21/20) – A study of nearly 1,000 patients examined the status and correlates of mobile health readiness among individuals on dialysis. The study found 81 percent of respondents owned smartphones or other internet-capable devices, and 70 percent reported intermediate or advanced mobile health proficiency. The results suggest that patients were adequately ready and able to receive home dialysis facilitated through mobile technology.

An Integrated Mobile Acute Care Service Enhances Value: (12/9/20) – A study on DispatchHealth’s ER model in the home with Baystate Health. In-home mobile care for high-acuity illness can prevent unnecessary ED and hospital use for some patients and is associated with high patient satisfaction. Acute mobile care is a useful component of a value-based care strategy.

Patient-Centered Outcomes Research Institute (PCORI): (11/17) – PCORI Board of Governors approved nearly $10 million to explore how telehealth can be used to improve outcomes for women. The newly approved awards related to digital health include:

  • $6 million for a University of Washington study that will be the first national randomized trial on improving outcomes for African-American women with endometrial cancer. African-American women with endometrial cancer have higher mortality rates due to factors including social isolation during treatment, which can affect whether they complete treatment. This trial will compare how well two virtual interventions, group-based and one-on-one peer support, reduce social isolation and if they improve treatment completion as well as patients’ experiences.
  • $3.7 million for a University of Pittsburgh Medical Center study looking at whether different strategies for maternity case management (MCM) can improve the mental health of low-income pregnant and postpartum women with anxiety and/or depression. The project will compare a traditional MCM program to MCM supplemented with a digital behavioral health tool, as well as MCM plus the digital behavioral health tool combined with coaching from health/wellness coaches.

Patient-Centered Outcomes Research Institute (PCORI): (10/20/20) – PCORI recently funded nine new projects to answer COVID-19-related questions – six of which include a telehealth component. For example, PCORI has funded a project examining the comparative effectiveness of different approaches to providing primary care during the widespread transition from in-person to remote visits during the pandemic. View the list of funded projects.

Reimagining the Way Healthcare is Delivered: (8/19/20) – A case study recently published by DispatchHealth and Multicare. By integrating DispatchHealth, MultiCare closed a gap in the care continuum by creating a cohesive, preferred, patient journey and strategically improving cost-savings in their risk populations.

Agency for Healthcare Research and Quality U.S. Department of Health and Human Services – Home-Based Primary Care Interventions: (February 2016) – The comparative effectiveness report showed that hospital-at-home patients had an 8.6 percent lower 30-day readmission rate compared to 15.6 percent readmission rate for the control group of acute-care hospital patients. Additionally, hospital-at-home patients had an 5.8 percent 30-day emergency department re-visit rate versus an 11.7 percent emergency department revisit rate among the control group. Hospital-at-home patients were also more likely to report the highest overall rating for overall hospital care in the American Community Survey conducted by the U.S. Census Bureau than the control group.

JAMA Internal Medicine – Epidemiology of the Homebound Population in the United States: (July 2015) – Research reported in JAMA Internal Medicine  shows that the number of older homebound people in the United States has hit 2 million and researchers expect that figure to rise in the future, vs. a 2016 report that an estimated 1.9 million U.S. adults age 65 or older are completely or mostly homebound. JAMA further asserts that 5.3 million seniors have functional limitations that make it hard to leave their homes. Many of these individuals have profound difficulty accessing office-based primary care, and some are unable to do so altogether. In the U.S., 1.4 million seniors reside in long-term care institutions compared to 47 million older adults who are aging in place. An additional 812,000 seniors make their homes at assisted living facilities.