Improving access to home and community care for people with Alzheimer's and related dementias
Inefficiency in Home and Community-Based Services Access in Alzheimer's Disease and Related Dementias
This project looks at how home and community services help people with Alzheimer's and similar dementias stay in the community and avoid nursing home stays.
Quick facts
| Grant type | P01 program project |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Dartmouth College NIH-funded |
| Lab location | 1 site (Hanover, United States) |
| Project ID | NIH-11176909 on NIH RePORTER |
What this research studies
From your perspective, researchers will use national Medicare and Medicaid records for people with Alzheimer's and related dementias who have both types of coverage, along with self-reports, to see who receives home- and community-based services. They will link claims data from 2010–2024 to measure outcomes like nursing home use, quality of life, daily function, safety problems, end-of-life care, and death. The team combines numbers and patient-reported experiences to find administrative and personal factors that predict getting services and to compare outcomes for people who do and do not receive those services. Their mixed-methods approach means they will explain not just whether services help, but why access is uneven and where the system may be inefficient.
Who could benefit from this research
Good fit: Ideal participants are adults with Alzheimer's disease or related dementias who live in the community and are dually eligible for Medicare and Medicaid.
Not a fit: People who are not dually eligible for Medicare and Medicaid, those already living in long-term nursing facilities, or people without an ADRD diagnosis are unlikely to be included or directly benefit from this project.
Why it matters
Potential benefit: If successful, the work could make it easier for people with dementia to get the home-based supports they want and reduce unnecessary nursing home stays.
How similar studies have performed: Previous evidence about whether home- and community-based services reduce inefficiency and improve outcomes is limited and mixed, so this comprehensive claims-plus-self-report approach is more extensive than much prior work.
Where this research is happening
Hanover, United States
- Dartmouth College — Hanover, United States (Active)
Researchers
- Principal investigator: Barnato, Amber E — Dartmouth College
- Study coordinator: Barnato, Amber E
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.