In the US, a large and increasing number of people with multiple chronic conditions, cognitive impairment, and functional decline live in the community but are homebound, defined as rarely or never leaving home. In 2011, our research group estimated there were about 2 million people who were completely or mostly homebound in the US.1 By comparison, in 2012, there were about 1.4 million people in nursing homes.2 Furthermore, nearly half of community-dwelling older adults are homebound in the year before death.3 We estimated the incidence of becoming homebound in the US from 2012 to 2018 for Medicare beneficiaries aged 65 years and older.
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Ornstein KA, Garrido MM, Bollens-Lund E, et al. Estimation of the Incident Homebound Population in the US Among Older Medicare Beneficiaries, 2012 to 2018. JAMA Intern Med. 2020;180(7):1022–1025. doi:10.1001/jamainternmed.2020.1636
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