Evidence map›Paper›PMID 21531966›Full record

ArticlePolicy, politics & nursing practice2010

Medicare readmissions policies and racial and ethnic health disparities: a cautionary tale.

Matthew D McHugh, J Margo Brooks Carthon, Xiao L Kang

Abstract readComparative Study
In one paragraph

Article in Policy, politics & nursing practice, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
  2. Pattern and Predictors of Hospital Readmission During the First Year After Lung Transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2017
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  10. Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2019
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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.

Matthew D McHughUniversity of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104-4217, USA. mchughm@nursing.upenn.edu
J Margo Brooks Carthon
Xiao L Kang

Funding

Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient OutcomesK08HS017551 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI MCHUGH, MATTHEW D. · 2008 to 2010
$371k
Nurse Practice Environment Influences in Reducing Disparities In Hospital OutcomeK01NR012006 · NINR · UNIVERSITY OF PENNSYLVANIA · PI BROOKS CARTHON, JACQUELINE MARGO · 2010 to 2012
$274k
AHRQ HHS K08 HS017551AHRQ HHS K08-HS017551NINR NIH HHS K01 NR012006NINR NIH HHS K01-NR012006
6 · The paper itself

Abstract

Beginning in 2009, the Centers for Medicare & Medicaid Services started publicly reporting hospital readmission rates as part of the Hospital Compare website. Hospitals will begin having payments reduced if their readmission rates are higher than expected starting in fiscal year 2013. Value-based purchasing initiatives including public reporting and pay-for-performance incentives have the potential to increase quality of care. There is concern, however, that hospitals providing service to minority communities may be disproportionately penalized as a result of these policies due to higher rates of readmissions among racial and ethnic minority groups. Using 2008 Medicare data, we assess the risk for readmission for minorities and discuss implications for minority-serving institutions.

Indexed as

Health Status DisparitiesAgedAged, 80 and overConfidence IntervalsDatabases, FactualEthnicityFemaleHealthcare DisparitiesHealth PolicyHeart FailureHospitalizationHumansMaleMedicareMinority HealthMyocardial Infarction

Identifiers

PMID21531966
PMCPMC3105322

What OpenQuestion holds

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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.