Publications by authors named "Scotte Hartronft"

With almost 90% of Americans expressing a desire to age in place in their home, many health systems and communities are challenged to provide the right resources, at the right time, to support What Matters to older adults. In the Department of Veterans Affairs (VA), approximately 50% of Veterans enrolled in VA health care are aged 65 and older, driving an imperative to provide timely, Age-Friendly care through a broad continuum of services. VA has taken a multifaceted approach to shift Long-Term Services and Supports to promote aging in place through innovation pilots, expansion of Home and Community Based Services (HCBS) and adoption of Age-Friendly Health Systems (AFHS) practices [or "framework"].

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Article Synopsis
  • Home and community-based services (HCBS) allow frail patients, including Veterans, to stay at home instead of being institutionalized.
  • A study analyzed disparities in HCBS utilization among Veterans based on neighborhood deprivation, race, and rurality, revealing that most Veterans are equitably receiving necessary services.
  • Results showed that while Veterans in deprived neighborhoods had slightly higher HCBS utilization, rural Veterans received less, and Black Veterans had marginally increased access compared to White Veterans, indicating the VA's effective resource allocation for HCBS.
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Background/objectives: COVID-19 has caused significant morbidity and mortality in nursing homes. Vaccination against SARS-COV-2 holds promise for reduction in COVID-19. This operational analysis describes the proportion of SARS-COV-2 positive tests before, during, and after vaccination.

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Background: Only a minority of patients who die in the medical intensive care unit (MICU) receive palliative care services. At the South Texas Veterans Health Care System Audie L. Murphy Hospital, only 5% of patients who died in the MICU from May to August 2010 received a palliative care consultation.

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