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What’s Happening at Home
Krista Lyn Harrison, Bruce A. Leff, Aylin Altan, Stephan C. Dunning, Casey R. Patterson, Christine Seel Ritchie. Medical Care, 2019-12-23
Topic: Risk, prevention and care in population studies
Overall, 5% of the study population (n=161,801) received 2+ months of HCC visits; of these, 46% also received 2+ HBMC visits (n=73,638) while 54% received only skilled home health (n=88,163 HCC but no HBMC). HBMC-recipients had high comorbidity burden (Charlson score 4.3), dementia (35%), and ambulance trips (58%), but few nursing facility admissions (4.9%). Evidence of care coordination (CPO claims) occurred in 30% of the HCC population, 46% of HBMC, and 17% of the skilled home health care only. Approximately 1 of 20 older adults in this study received HCC; 30% or less have a claim for care coordination by their primary care provider.
Key findings
- Overall, 5% of the study population (n=161,801) received 2+ months of HCC visits; of these, 46% also received 2+ HBMC visits (n=73,638) while 54% received only skilled home health (n=88,163 HCC but no HBMC).
- HBMC-recipients had high comorbidity burden (Charlson score 4.3), dementia (35%), and ambulance trips (58%), but few nursing facility admissions (4.9%).
- Evidence of care coordination (CPO claims) occurred in 30% of the HCC population, 46% of HBMC, and 17% of the skilled home health care only.
- Approximately 1 of 20 older adults in this study received HCC; 30% or less have a claim for care coordination by their primary care provider.
Why it matters
This study described home-based care visits and care coordination among older adults, noting that 35% of home-based medical care recipients had dementia. It is about patterns of home care delivery rather than treating, curing or preventing Alzheimer's disease.
Study details
- Participants161,801
- Effect size4.9%
- Evidence strengthLow
How this study scored 53/100
Published in a peer-reviewed journal. Scored zero for study design and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Medical Care) |
| Journal's citation record | 3 / 4 | Medical Care: journal h-index 273 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2019 — within 10 year(s) of the newest study here |
| Sample size | 4 / 4 | 161,801 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 3 / 7 | Cited 33 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 3.7 citations a year over 9 year(s) since 2019 |
| Impact for its field and year | 3 / 6 | Cited 5.1× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 1 / 4 | Cited 12 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Christine Seel Ritchie: h-index 60 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Johns Hopkins University: institution h-index 2,306 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 5 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 31876645) |
| Free to read | 2 / 2 | Free to read |
| Total | 53 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1097/mlr.0000000000001267
- PubMed: 31876645
- Original source →
- Free full text: PubMed Central →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Harrison, K. L., Leff, B. A., Altan, A., Dunning, S. C., Patterson, C. R., & Ritchie, C. S. (2019). What’s Happening at Home. Medical Care. https://doi.org/10.1097/mlr.0000000000001267
Vancouver
Harrison KL, Leff BA, Altan A, Dunning SC, Patterson CR, Ritchie CS. What’s Happening at Home. Medical Care. 2019. doi:10.1097/mlr.0000000000001267. PMID: 31876645.
BibTeX
@article{harrison2019-31876645,
author = {Harrison, Krista Lyn and Leff, Bruce A. and Altan, Aylin and Dunning, Stephan C. and Patterson, Casey R. and Ritchie, Christine Seel},
title = {{What’s Happening at Home}},
journal = {Medical Care},
year = {2019},
doi = {10.1097/mlr.0000000000001267},
pmid = {31876645},
url = {https://doi.org/10.1097/mlr.0000000000001267}
}
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