Evidence map›Paper›PMID 19674434›Full record

ArticleHealth services research2009

Factors associated with increasing nursing home closures.

Nicholas G Castle, John Engberg, Judith Lave, Andrew Fisher

Abstract read
In one paragraph

Article in Health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–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

26 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. United States' Nursing Home Finances: Spending, Profitability, and Capital Structure.International journal of social determinants of health and health services · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. The Effect of Business Operating Systems on Nursing Home Termination.International journal of public health · 2023
    Article
  10. Observational
  11. Article
  12. Bundled Payment Reform and Dialysis Facility Closures in ESKD.Journal of the American Society of Nephrology : JASN · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Volume Matters: Returning Home After Hip Fracture.Journal of the American Geriatrics Society · 2015
    Observational
  18. Article
  19. Does regulating private long-term care facilities lead to better care? A study from Quebec, Canada.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014
    Article
  20. 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

4 authors.

Nicholas G CastleGraduate School of Public Health, University of Pittsburgh,Pittsburgh, PA 15261, USA. castlen@Pitt.edu
John Engberg
Judith Lave
Andrew Fisher

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe determine the rate of nursing home closures for 7 years (1999-2005) and examine internal (e.g., quality), organizational (e.g., chain membership), and external (e.g., competition) factors associated with these closures. DESIGN AND

methodThe names of the closed facilities and dates of closure from state regulators in all 50 states were obtained. This information was linked to the Online Survey, Certification, and Reporting data, which contains information on internal, organizational, and market factors for almost all nursing homes in the United States.

resultsOne thousand seven hundred and eighty-nine facilities closed over this time period (1999-2005). The average annual rate of closure was about 2 percent of facilities, but the rate of closure was found to be increasing. Nursing homes with higher rates of deficiency citations, hospital-based facilities, chain members, small bed size, and facilities located in markets with high levels of competition were more likely to close. High Medicaid occupancy rates were associated with a high likelihood of closure, especially for facilities with low Medicaid reimbursement rates. IMPLICATIONS: As states actively debate about how to redistribute long-term care services/dollars, our findings show that they should be cognizant of the potential these decisions have for facilitating nursing home closures.

Indexed as

Bed OccupancyEconomic CompetitionFacility Regulation and ControlHealth Facility ClosureHealth Facility SizeHealth PolicyHealth Services Needs and DemandHealth Services ResearchHumansLogistic ModelsMarketing of Health ServicesMedicaidModels, OrganizationalMultivariate AnalysisNursing HomesOrganizational Affiliation

Identifiers

PMID19674434
PMCPMC2699923

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.