ArticleMedical care2011
Facility and market factors affecting transitions from nursing home to community.
Article in Medical care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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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.
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.
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Who cites it
14 citing papers in PubMed.
- Care Trajectories for a Cohort of First-Time Nursing Home Admissions: A 5-Year Longitudinal Study in Minnesota.Journal of the American Medical Directors Association · 2025Article
- Barriers to Discharge for Nursing Home Residents With Serious Mental Illness.JAMA network open · 2025Article
- The association between social risks and days at home for older veterans.Journal of the American Geriatrics Society · 2024Article
- Improving Prediction of Long-Term Care Utilization Through Patient-Reported Measures: Cross-Sectional Analysis of High-Need U.S. Veterans Affairs Patients.Medical care research and review : MCRR · 2022Article
- Medicaid home- and community-based services and discharge from skilled nursing facilities.Health services research · 2021Article
- Challenges to community transitions through Money Follows the Person.Health services research · 2020Article
- Clinical predictors of protracted length of stay in Ontario Complex Continuing Care hospitals.BMC health services research · 2019Article
- Modeling Community Discharge of Medicaid Nursing Home Residents: Implications for Money Follows the Person.Health services research · 2018Article
- Factors affecting residents transition from long term care facilities to the community: a scoping review.BMC health services research · 2017Article
- Community Discharge of Nursing Home Residents: The Role of Facility Characteristics.Health services research · 2016Article
- Defining quality outcomes for complex-care patients transitioning across the continuum using a structured panel process.BMJ quality & safety · 2013Review
- Who transitions to the community from nursing homes? Comparing patterns and predictors for short-stay and long-stay residents.Home health care services quarterly · 2013Article
- System factors affecting long-term care outcomes.Medical care · 2011Article
- Barriers to a Timely Discharge From Short-Term Care in VA Community Living Centers.Journal of aging & social policyArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch into nursing home transitions has given limited attention to the facility or community contexts.
objectiveTo identify facility and market factors affecting transitions of nursing home residents back to the community. RESEARCH
designMultilevel models were used to estimate effects of facility and market factors on facility-level community discharge rates after controlling for resident demographic, health, and functional conditions. Facility discharge rates were adjusted using Empirical Bayes estimation. SUBJECTS: Annual cohort of first-time admissions (N=24,648) to 378 Minnesota nursing facilities in 75 nursing home markets from July 2005 to June 2006. MEASURES: Community discharge within 90 days of admission; facility occupancy, payer mix, ownership, case-mix acuity, size, admissions from hospitals, nurse staffing level, and proportion of admissions preferring or having support to return to the community; and nursing market population size, average occupancy, market concentration, and availability of home and community-based services.
resultsRates of community discharge (Empirical Bayes residual) were highest in facilities with more residents preferring community discharge, more Medicare days, higher nurse staffing levels, and higher occupancy. In addition, facilities had higher community discharge rates if they were located in markets with a greater ratio of home and community-based services recipients to nursing home residents and with larger populations.
conclusionsState Medicaid programs should undertake system-level interventions that encourage nursing facilities to reduce unused bed capacity, balance the mix of payers, invest in nurse staffing, and take other steps to promote community discharges. In addition, states should increase home and community-based services, particularly in markets with low community discharge rates.
Indexed as
Identifiers
21577163What OpenQuestion holds
Registered trials
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.