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Changes in service use and unmet needs in home- and community- based services in the United States during the COVID-19 pandemic

3 months 2 weeks ago
CONCLUSIONS: During the PHE, simultaneous increase in services use and unmet service needs for some HCBS (e.g. personal care) suggests that temporary PHE measures taken were insufficient to offset the demand for those services. For caregiver respite/support, increased service use and decreased unmet service needs suggests that the temporary PHE measures for caregiver support may have offset a rise in service demand. These findings can inform evaluations of temporary PHE policies for HCBS and...
Romil R Parikh

The relationship between cognitive impairment and quality of life in rural older adults with chronic diseases-parallel mediating effects of depressive symptoms and frailty

3 months 2 weeks ago
CONCLUSIONS: We found that cognitive impairment not only directly affects the quality of life of rural older adults with chronic diseases but also indirectly affects them through depressive symptoms and frailty. To improve the quality of life of rural older adults with chronic diseases, we should pay attention to their cognitive impairment. Simultaneously, efforts should focus on alleviating depressive symptoms and frailty in this population. Strengthening the management of chronic diseases is...
Haoqi Li