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Home healthcare mismatch

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From HealthAffairs:

“As many as four million U.S. residents need home-based medical care, and there is a shortage of willing providers. Nengliang (Aaron) Yao of the University of Virginia School of Medicine and coauthors used 2012–13 Medicare fee-for-service data and found that 9 percent of the 5,000 primary care providers performed 44 percent of the 1.7 million home visits that year . The authors also determined that the majority of Americans live more than 30 miles from a home-based medical care provider.

“The data, the authors note, suggest a mismatch between the medical needs of homebound older adults and the ability of the medical system to provide care for them where they need to be served. This is one of the first descriptions of the provision and use of U.S. home-based medical care and sets a baseline for future evaluation of workforce and geographic variations in its composition and use.”

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