Evidence map›Paper›PMID 24134773›Full record

ArticleHealth services research2013

Effect of hospital-SNF referral linkages on rehospitalization.

Momotazur Rahman, Andrew D Foster, David C Grabowski, Jacqueline S Zinn, Vincent Mor

Abstract read
In one paragraph

Article in Health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing 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

70 citing papers in PubMed.

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10 more citing papers are in PubMed but not listed here.

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

5 authors.

Momotazur RahmanDepartment of Health Services Policy and Practice, Brown University, Providence, RI.
Andrew D Foster
David C Grabowski
Jacqueline S Zinn
Vincent Mor

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI · 2007 to 2026
$38.9M
Spatial Analysis CoreR24HD041020 · NICHD · BROWN UNIVERSITY · PI FOSTER, ANDREW D. · 2001 to 2016
$7.4M
NIA NIH HHS P01 AG027296NIA NIH HHS P01AG027296NICHD NIH HHS R24 HD041020
6 · The paper itself

Abstract

objectiveTo determine whether the rate of rehospitalization is lower among patients discharged to skilled nursing facilities (SNFs) with which a hospital has a strong linkage. DATA SOURCES/COLLECTION: We used national Medicare enrollment, claims, and the Minimum Data Set to examine 2.8 million newly discharged patients to 15,063 SNFs from 2,477 general hospitals between 2004 and 2006. STUDY

designWe examined the relationship between the proportion of discharges from a hospital and alternative SNFs on the rehospitalization of patients treated by that hospital-SNF pair using an instrumental variable approach. We used distances to alternative SNFs from residence of the patients of the originating hospital as the instrument. PRINCIPAL

findingsOur estimates suggest that if the proportion of a hospital's discharges to an SNF was to increase by 10 percentage points, the likelihood of patients treated by that hospital-SNF pair to be rehospitalized within 30 days would decline by 1.2 percentage points, largely driven by fewer rehospitalizations within a week of hospital discharge.

conclusionsStronger hospital-SNF linkages, independent of hospital ownership, were found to reduce rehospitalization rates. As hospitals are held accountable for patients' outcomes postdischarge under the Affordable Care Act, hospitals may steer their patients preferentially to fewer SNFs.

Indexed as

Interinstitutional RelationsAgedAged, 80 and overFemaleHumansLength of StayMaleMedicare Part APatient DischargePatient Protection and Affordable Care ActPatient ReadmissionReferral and ConsultationResidence CharacteristicsSkilled Nursing FacilitiesSocioeconomic FactorsTime Factorshealth care organizations and systemsHealth economicsinstrumental variables

Identifiers

PMID24134773
PMCPMC3844283

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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.