Alzheimer's Centers in US Hospitals: Enough to Adequately Address Dementia Care Nationwide?

To investigate the availability of Alzheimer's Centers (ACs) in US hospitals. Utilizing the American Hospital Association Annual Survey, Area Health Resource File, and US Census ( = 3251), we employed multivariable logistic regression to examine hospital, county, and regional predictors of AC availability. Large hospitals (>399 beds) had approximately 14 times higher odds of having an AC than small hospitals (<50 beds; OR = 14.0; 95% CI = 6.44 - 30.46). Counties with a higher proportion of Latino residents, relative to non-Latino Whites, had lower odds of having an AC (OR = .05; 95% CI = .01 - .41). Northeastern (OR = 1.92; 95% CI = 1.15 - 3.22) and Midwestern (OR = 2.12; 95% CI = 1.34 - 3.37) hospitals had higher odds of having an AC than Southern hospitals. To address dementia needs and disparities, investment in a national infrastructure is critical.