ArticleHealth affairs (Project Hope)2015
Nurse Staffing Hours At Nursing Homes With High Concentrations Of Minority Residents, 2001-11.
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 14 papers, 1 of them a synthesis that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Racial/Ethnic Disparities in Nursing Home End-of-Life Care: A Systematic Review.Journal of the American Medical Directors Association · 2021Pooled it
- Medicaid payment rates and nursing home staffing levels across ownership types.Innovation in aging · 2026Article
- Methods for studying health disparities in U.S. nursing homes: a scoping review.BMC health services research · 2025Article
- Hospice Quality, Race, and Disenrollment in Hospice Enrollees With Dementia.Journal of palliative medicine · 2023Article
- Skilled Nursing Facility Participation in Bundled Payments Was Related to Small Increases in Nurse Staffing Levels.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- Severe neighborhood deprivation and nursing home staffing in the United States.Journal of the American Geriatrics Society · 2023Article
- Did the COVID-19 Pandemic Affect the Use of Antipsychotics Among Nursing Home Residents With ADRD?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Observational
- Resident racial and ethnic composition, neighborhood-level socioeconomic status, and COVID-19 infections in California SNFs.Journal of the American Geriatrics Society · 2023Article
- Algorithmic harms and digital ageism in the use of surveillance technologies in nursing homes.Frontiers in sociology · 2022Article
- Racial disparity in end-of-life hospitalizations among nursing home residents with dementia.Journal of the American Geriatrics Society · 2021Article
- Predicting Coronavirus Disease 2019 Infection Risk and Related Risk Drivers in Nursing Homes: A Machine Learning Approach.Journal of the American Medical Directors Association · 2020Article
- Racial and Ethnic Disparities in COVID-19 Infections and Deaths Across U.S. Nursing Homes.Journal of the American Geriatrics Society · 2020Article
- Racial and Ethnic Differences in the Prevalence of Depressive Symptoms Among U.S. Nursing Home Residents.Journal of aging & social policyArticle
- Racial/Ethnic Disparities in Nursing Home Quality of Life Deficiencies, 2001 to 2011.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
Recent increases in state Medicaid payments to nursing homes have the potential to reduce disparities in nurse staffing between facilities with high and low concentrations of racial/ethnic minority residents. Analyses of nursing home and state policy survey data for the period 2001-11 suggest that registered nurse and licensed practical nurse staffing levels increased slightly during this period, regardless of racial/ethnic minority resident concentration. Adjusted disparities in registered nurse hours per resident day between nursing homes with high and low concentrations of minority residents persisted, although they were reduced. Certified nursing assistant hours per patient day increased in nursing homes with low concentrations of minorities but decreased in homes with high concentrations, creating a new disparity. Overall, increases in state Medicaid payment rates to nursing homes were associated with improvements in staffing and reduced staffing disparities across facilities, but the adoption of case-mix payments had the opposite effect. Further reforms in health care delivery and payment are needed to address persistent disparities in care between nursing homes serving higher proportions of minority residents and those serving lower proportions, and to prevent unintended exacerbations of such disparities.
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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.