Abstract
The home health-care industry is under growing pressure to deliver services more effectively to meet the increasing demand from care recipients, particularly the elderly population. It is estimated that U.S. home health-care expenditures will rise from US <inline-formula xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><tex-math notation="LaTeX">${\$}$</tex-math></inline-formula> 108.8 billion in 2019 to US$186.8 billion in 2027 <xref ref-type="bibr" rid="ref1" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">[1]</xref> . A simultaneous ongoing shortage of physicians, registered nurses, certified nursing assistants, and social workers has created a major service delivery gap in the home health-care industry, especially in rural areas where timely access to quality health-care services is very limited <xref ref-type="bibr" rid="ref2" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">[2]</xref> . The recent COVID-19 pandemic exacerbated this problem as it isolated many care recipients from their caregivers or friends.
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