Evidence map›Paper›PMID 16735621›Full record

ArticleAmerican journal of public health2006

Effect of educational level and minority status on nursing home choice after hospital discharge.

Joseph Angelelli, David C Grabowski, Vincent Mor

Abstract readComparative Study
In one paragraph

Article in American journal of public health, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Outcomes After Traumatic Brain Injury Surgery: Investigating Racial Disparities.Journal of racial and ethnic health disparities · 2026
    Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Medicaid and Nursing Home Choice: Why Do Duals End Up in Low-Quality Facilities?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Determinants of postacute care discharge destination after dysvascular lower limb amputation.PM & R : the journal of injury, function, and rehabilitation · 2011
    Article
  17. Article
  18. Article
  19. Article
  20. The Role of Assisted Living Capacity on Nursing Home Financial Performance.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Joseph AngelelliThe Pennsylvania State University, University Park, PA 1680-2500, USA. jangel@psu.edu
David C Grabowski
Vincent Mor

Funding

State Policies and Hospitalizations from Nursing HomesR01AG020557 · NIA · BROWN UNIVERSITY · PI MOR, VINCENT · 2002 to 2004
$1.4M
RURAL HOSPITAL LINKAGES TO LONG TERM CARE PROVIDERSR01AG013987 · NIA · BROWN UNIVERSITY · PI FENNELL, MARY L · 1996 to 2006
$1.4M
Disparties in Nursing Home Care by Race and Payer StatusK01AG024403 · NIA · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI GRABOWSKI, DAVID C · 2005 to 2009
$633k
RACIAL DISPARITIES IN QUALITY OF NURSING HOME CARER03HS009552 · AHRQ · BROWN UNIVERSITY · PI ZIERLER, SALLY · 1997 to 1997
–
AHRQ HHS HS 09552NIA NIH HHS AG 024403NIA NIH HHS AG 13987NIA NIH HHS AG 20557NIA NIH HHS K01 AG024403NIA NIH HHS R01 AG013987NIA NIH HHS R01 AG020557
6 · The paper itself

Abstract

objectivesThe movement to publicly report data on provider quality to inform consumer choices is predicated on assumptions of equal access and knowledge. We examine the validity of this assumption by testing whether minority/less educated Medicare patients are at greater risk of being discharged from a hospital to the lowest-quality nursing homes in a geographic area.

methodsWe used the 2002 national Minimum Data Set to identify 62601 new Medicare admissions to nursing homes in 95 hospital service areas with at least 4 freestanding nursing homes and at least 50 African Americans aged 65 years or older with Medicare admissions to nursing homes.

resultsThe probability of African Americans' being admitted to nursing homes in the lowest-quality quartile in the area was greater (relative risk [RR]=1.26; 95% confidence interval [CI]=1.0, 8.45) in comparison with Whites. Individuals without a high-school degree were also more likely to be admitted to a low-quality nursing home (RR=1.22; 95% CI=1.0, 1.46).

conclusionsAfrican American and poorly educated patients enter the worst-quality nursing facilities. This finding raises concerns about the usefulness of the current public reporting model for certain consumers.

Indexed as

Educational StatusAftercareAgedAged, 80 and overBlack or African AmericanCertificationFemaleGeographyHumansMaleMedicareMinority GroupsNursing HomesPatient DischargeQuality of Health CareRisk

Identifiers

PMID16735621
PMCPMC1483856

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.