Evidence map›Paper›PMID 25215647›Full record

ArticleMedical care2014

Home health agency work environments and hospitalizations.

Olga Jarrín, Linda Flynn, Eileen T Lake, Linda H Aiken

Abstract read
In one paragraph

Article in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Nurses' Transitions Into and Out of the Home Health Sector.Medical care research and review : MCRR · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Revista panamericana de salud publica = Pan American journal of public health · 2018
    Article
  15. Article
  16. Relationship Between Working Conditions, Worker Outcomes, and Patient Care: A Theoretical Model for Frontline Health Care Workers.American journal of medical quality : the official journal of the American College of Medical Quality
    Article
  17. Article
  18. Observational
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.

Olga Jarrín*Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA †University of Colorado, College of Nursing, Anschutz Medical Campus, Aurora, CO ‡Leonard Davis Institute of Health Economics, Wharton School of Business, University of Pennsylvania, Pennsylvania, Philadelphia, PA.
Linda Flynn
Eileen T Lake
Linda H Aiken

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
Outcomes of Nurse Practice EnvironmentsR01NR004513 · NINR · UNIVERSITY OF PENNSYLVANIA · PI AIKEN, LINDA H · 1997 to 2012
$5.9M
Comparative effectiveness of home care environments for diverse elders' outcomesK99HS022406 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI JARRÍN MONTANER, OLGA F. · 2013 to 2014
$298k
AHRQ HHS K99 HS022406AHRQ HHS K99HS022406NINR NIH HHS R01 NR004513NINR NIH HHS R01NR04513NINR NIH HHS T32 NR007104NINR NIH HHS T32NR007104
6 · The paper itself

Abstract

backgroundAn important goal of home health care is to assist patients to remain in community living arrangements. Yet home care often fails to prevent hospitalizations and to facilitate discharges to community living, thus putting patients at risk of additional health challenges and increasing care costs.

objectivesTo determine the relationship between home health agency work environments and agency-level rates of acute hospitalization and discharges to community living. METHODS AND

designAnalysis of linked Center for Medicare and Medicaid Services Home Health Compare data and nurse survey data from 118 home health agencies. Robust regression models were used to estimate the effect of work environment ratings on between-agency variation in rates of acute hospitalization and community discharge.

resultsHome health agencies with good work environments had lower rates of acute hospitalizations and higher rates of patient discharges to community living arrangements compared with home health agencies with poor work environments.

conclusionImproved work environments in home health agencies hold promise for optimizing patient outcomes and reducing use of expensive hospital and institutional care.

Indexed as

AdultCross-Sectional StudiesFemaleHome Care AgenciesHospitalizationHumansJob SatisfactionMaleMedicaidMedicareMiddle AgedNew JerseyOrganizational ObjectivesPatient DischargePennsylvaniaUnited States

Identifiers

PMID25215647
PMCPMC4174033

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.