Linking Health And Social Services Through Area Agencies On Aging Is Associated With Lower Health Care Use And Spending.

Area Agencies on Aging Community health Costs and spending Health care providers Health policy Integrated health services Medicare savings programs Mental Health Nursing homes Older adults Psychiatric hospitals

Journal

Health affairs (Project Hope)
ISSN: 1544-5208
Titre abrégé: Health Aff (Millwood)
Pays: United States
ID NLM: 8303128

Informations de publication

Date de publication:
04 2020
Historique:
entrez: 7 4 2020
pubmed: 7 4 2020
medline: 15 5 2021
Statut: ppublish

Résumé

Area Agencies on Aging are increasingly partnering with health care organizations to address the health-related social needs of older adults and contribute to multisector coalitions that promote community health. Using survey data for the period 2008-13, we examined the potential health impacts of establishing such partnerships. Partnerships with hospitals located in an agency's service county were associated with a reduction of $136 in average annual Medicare spending per beneficiary, while partnerships with mental health organizations in an agency's service county saw potentially avoidable nursing home use fall by 0.5 percentage points. When agencies were funded participants in livable community initiatives-multisector coalitions to promote the well-being and health of older adults-potentially avoidable nursing home use fell by nearly 1 percentage point. Our results suggest that investments in health and human services partnerships through Area Agencies on Aging can yield health returns among older adults, in the form of reduced health care use and spending.

Identifiants

pubmed: 32250691
doi: 10.1377/hlthaff.2019.01515
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

587-594

Auteurs

Amanda L Brewster (AL)

Amanda L. Brewster ( amanda. brewster@berkeley. edu ) is an assistant professor in the Division of Health Policy and Management, School of Public Health, University of California Berkeley.

Traci L Wilson (TL)

Traci L. Wilson is a research scholar at the Scripps Gerontology Center, Miami University, in Oxford, Ohio.

Jennifer Frehn (J)

Jennifer Frehn is a PhD candidate in the Division of Health Policy and Management, School of Public Health, University of California Berkeley.

Diane Berish (D)

Diane Berish is an assistant research professor in the College of Nursing, The Pennsylvania State University, in University Park.

Suzanne R Kunkel (SR)

Suzanne R. Kunkel is a University Distinguished Professor in the Department of Sociology and Gerontology and executive director of the Scripps Gerontology Center, both at Miami University.

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