Evidence map›Paper›PMID 26643633›Full record

ArticleHealth affairs (Project Hope)2015

Nursing Homes That Increased The Proportion Of Medicare Days Saw Gains In Quality Outcomes For Long-Stay Residents.

Michael Lepore, Natalie E Leland

Open access · bronzeAbstract 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
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

13 citing papers in PubMed, 27 citations in OpenAlex.

  1. Observational
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  13. Rehabilitation Therapy for Nursing Home Residents at the End-of-Life.Journal of the American Medical Directors Association · 2019
    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

2 authors at 1 institution in 1 country.

Michael LeporeMichael Lepore (mlepore@rti.org) is a senior health policy and health services researcher in the Aging, Disability, and Long-Term Care program at RTI International in Washington, D.C., and an adjunct assistant professor in the Department of Health Services, Policy, and Practice at Brown University, in Providence, Rhode Island.
Natalie E LelandNatalie E. Leland is an assistant professor with a joint appointment in the Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy and the Davis School of Gerontology at the University of Southern California, in Los Angeles, and an adjunct assistant professor in the Department of Health Services, Policy, and Practice at Brown University.
Department of Health Services · NP

Funding

Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
Identifying Patient-Centered Fall Prevention Care Processes in Hip Fracture RehabilitationK01HS022907 · AHRQ · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LELAND, NATALIE ELIZABETH · 2015 to 2017
$432k
AHRQ HHS K01 HS022907NICHD NIH HHS K12 HD055929
6 · The paper itself

Abstract

Nursing homes are increasingly providing rehabilitative care to short-stay residents under Medicare's skilled nursing facility coverage, which is much more generous than Medicaid's coverage for long-stay residents. This shift creates the potential for both beneficial and detrimental effects on outcomes for such residents. Examining nationwide facility-level nursing home data for the period 2007-10, we found that increasing the proportion of Medicare-covered patient days in a nursing home was significantly associated with improvements in the quality of the three outcomes we considered for long-stay residents. We saw significant decreases in the percentages of long-stay residents with daily pain (from 5.1 percent to 3.4 percent), with worsening pressure ulcers (from 2.5 percent to 2.0 percent), and with a decline in performing activities of daily living (from 15.9 percent to 14.9 percent). These findings reinforce previous research indicating that quality outcomes tend to be superior in nursing homes with greater financial resources. They also bolster arguments for financial investments in nursing homes, including increases in Medicaid payment rates, to support better care for long-stay residents.

Indexed as

Length of StayMedicareNursing HomesOutcome Assessment, Health CareQuality ImprovementDatabases, FactualHumansQuality of Health CareUnited StatesLong-Term CareMedicaidMedicare

Identifiers

PMID26643633
PMCPMC5369416
OpenAlexW2190262342

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.