Association Between States’ Certificate of Need Laws and Home Health Care Access in the US-Reference-Cited by-同舟云学术

Association Between States’ Certificate of Need Laws and Home Health Care Access in the US

Published:2023-12-13 Issue: Volume: Page:
ISSN:0733-4648
Container-title:Journal of Applied Gerontology
language:en
Short-container-title:J Appl Gerontol

Author:

Nataliansyah M. Muska¹^ORCID,Ward Marcia M.²,Zhu Xi³

Affiliation:

1. Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA

2. Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA, USA

3. Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA, USA

Abstract

Home health care has a significant role in the care of Medicare beneficiaries. Certificate of Need (CON) laws for home health agencies limit their number in affected states. This study’s objective was to evaluate the association of CON laws with the availability and service utilization of urban and rural home health agencies in CON states and non-CON states using the generalized estimating equations (GEE) method. The results from this study indicated that CON states have fewer home health agencies for their Medicare population than non-CON states, regardless of urbanicity or rurality. Home health agencies in CON states also have less service utilization in terms of care episodes and visits per patient. This study provides an understanding of the effects of CON laws on Medicare beneficiaries' home health access and experiences.

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Gerontology

Link

http://journals.sagepub.com/doi/pdf/10.1177/07334648231218079

Reference28 articles.

1. American Health Planning Association. (2021). American Health Planning Association: CON overview. Retrieved from.\ http://www.ahpanet.org/copnahpa.html

2. Assistance HousingCouncil. (2014). Housing an aging rural America: Rural seniors and their homes. Retrieved from https://ruralhome.org/wp-content/uploads/storage/documents/publications/rrreports/ruralseniors2014.pdf

3. Atemnkeng P. A. (2020). Association between certificate-of-need laws and the health outcomes of home health patients. Walden Dissertations and Doctoral Studies. (p. 8668). Retrieved from. https://scholarworks.waldenu.edu/dissertations/8668

4. Using Generalized Estimating Equations for Longitudinal Data Analysis

5. How Much Is Postacute Care Use Affected by Its Availability?