Evidence map›Paper›PMID 26153308›Full record

ArticleHealth affairs (Project Hope)2015

Deficiencies In Care At Nursing Homes And Racial/Ethnic Disparities Across Homes Fell, 2006-11.

Yue Li, Charlene Harrington, Helena Temkin-Greener, Kai You, Xueya Cai, Xi Cen, Dana B Mukamel

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2015. 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. Racial/Ethnic Disparities in Nursing Home End-of-Life Care: A Systematic Review.Journal of the American Medical Directors Association · 2021
    Pooled it
  2. Article
  3. Association of Racial and Ethnic Composition with Staff Levels in Nursing Homes: 2013-2019.Journal of the American Medical Directors Association · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Employee Perceptions on Ethics, Racial-Ethnic and Work Disparities in Long-Term Care: Implications for Ethics Committees.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022
    Article
  8. Article
  9. Article
  10. Decomposing Racial and Ethnic Disparities in Nursing Home Quality of Life.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

7 authors.

Yue LiYue Li (yue_li@urmc.rochester.edu) is an associate professor in the Department of Public Health Sciences at the University of Rochester Medical Center, in New York.
Charlene HarringtonCharlene Harrington is a professor of nursing at the University of California, San Francisco.
Helena Temkin-GreenerHelena Temkin-Greener is a professor in the Department of Public Health Sciences at the University of Rochester Medical Center.
Kai YouKai You is a PhD candidate in public health sciences at the University of Rochester.
Xueya CaiXueya Cai is a research assistant professor of biostatistics and computational biology at the University of Rochester.
Xi CenXi Cen is a PhD candidate in public health sciences at the University of Rochester.
Dana B MukamelDana B. Mukamel is a professor in the Department of Medicine at the University of California, Irvine.

Funding

Impacts of nursing home competition & state policies on disparities in qualityR01MD007662 · NIMHD · UNIVERSITY OF ROCHESTER · PI LI, YUE · 2013 to 2016
$1.6M
NIMHD NIH HHS R01 MD007662NIMHD NIH HHS R01MD007662
6 · The paper itself

Abstract

Despite the increased use of nursing homes by minority residents, nursing home care remains highly segregated. Compared to whites, racial/ethnic minorities tend to be cared for in facilities with limited clinical and financial resources, low nurse staffing levels, and a relatively high number of care deficiency citations. We assessed the trends from 2006 to 2011 in those citations and in disparities across facilities with four different concentrations of racial/ethnic minority residents. We found that the number of health care-related deficiencies and the percentage of facilities with serious deficiencies decreased over time for all four facility groups. From 2006 to 2011 the average annual number of health care-related deficiencies declined from 7.4 to 6.8 for facilities with low minority concentrations (<5 percent) and from 10.6 to 9.4 for facilities with high minority concentrations (≥35 percent). In multivariable analyses, across-site disparities in health care-related deficiencies and in life-safety deficiencies narrowed over time. We also found that increasing the Medicaid payment rate might help improve both overall quality and disparities, but state case-mix payment approaches might worsen both. These results suggest the need to reevaluate quality improvement and cost containment efforts to better foster the quality and equity of nursing home care.

Indexed as

Quality of Health CareRacial GroupsDiagnosis-Related GroupsEthnicityHealthcare DisparitiesHealth Care SurveysHumansMedicaidMinority GroupsNursing HomesPersonnel Staffing and SchedulingUnited StatesDisparitiesLong-Term CareQuality Of Care

Identifiers

PMID26153308
PMCPMC4618506

What OpenQuestion holds

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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.