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Symposium

Interdisciplinary

Innovating for Equitable Home Health Care: Reducing Barriers to Social and End-of-Life Care for Older Adults

Saturday, November 16, 2024
3:30 PM – 5:00 PM PST
Location: Room 2A
CE: 1.5

This symposium will focus on equity in home healthcare (HHC), operationalized as equitable access to, and receipt of, high quality HHC that is attuned to the unique needs of specific social and clinical subgroups, including minoritized racial/ethnic groups, those with chronic and serious illness such as dementia, and those at end-of-life. Topics include racial and ethnic disparities in hospice use and barriers to care, factors that impact individuals’ access to social work services, reasons for why palliative care is declined among individuals with lower levels of education, and disparities in access to high quality HHC for people living with dementia and their care partners. Abstracts present analyses from varied methodological and theoretical perspectives that all aim to better understand existing disparities and offer foundational evidence to support development of innovative models of care. The researchers and studies convened by this symposium are dedicated to equitable improvements in home health access and quality for the millions of diverse older adults who receive HHC each year in the United States. In sum, the robust findings of these impactful studies, each conducted in an interdisciplinary fashion and rooted in health-equity principles, present informative evidence for future work endeavoring to improve equitable access to and receipt of the full gamut of HHC services from early stages of illness and social care to end-of-life care.

Hospice, Palliative and End-of-Life Care Interest Group Sponsored Symposium

Learning Objectives:

  • After attending this session, participants will be able to provide an in-depth characterization of disparities within the HHC setting affecting minoritized racial/ethnic groups, those with dementia and other serious illness, and those at end-of-life.
  • After attending this session, participants will be able to assess the key considerations for health-equity focused innovation to improve HHC services (social and clinical care) for all people who utilize such care in the U.S.

Presentations:

  • 3:30 PM – 5:00 PM PST
    Barriers to Hospice Care Transitions Among People With Dementia in Home Health Care: Views of Diverse Care Partners

    Individual Symposium Abstract First Author: Komal Patel Murali, PhD, RN, ACNP-BC (she/her/hers) – New York University

  • 3:30 PM – 5:00 PM PST
    Provision of Social Work Services During Home Health Care: Individual- and Agency-Level Determinants of Access

    Individual Symposium Abstract First Author: Julia G. Burgdorf, PhD (she/her/hers) – VNS Health

  • 3:30 PM – 5:00 PM PST
    Impact of Value-Based Purchase Model on Racial Disparities in Accessing High-Quality Home Health Care

    Individual Symposium Abstract First Author: Chenjuan Ma, PhD, MSN – New York University

  • 3:30 PM – 5:00 PM PST
    Palliative Care Knowledge, Health Concerns, and Educational Status in Declining Community-Based Palliative Care

    Individual Symposium Abstract First Author: Elizabeth A. Luth, PhD (she/her/hers) – Rutgers University

  • 3:30 PM – 5:00 PM PST
    Home Health Care Use and Outcomes Among Persons With Dementia: A Scoping Review

    Individual Symposium Abstract First Author: Jamie M. Smith, PhD, RN (she/her/hers) – Widener University