Evidence map›Paper›PMID 26685182›Full record

ArticleResearch on aging2017

Rebalance Without the Balance: A Research Note on the Availability of Community-Based Services in Areas Where Nursing Homes Have Closed.

Denise A Tyler, Mary L Fennell

Open access · greenAbstract read
In one paragraph

Article in Research on aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact, top 84% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Who Will Care for Rural Older Adults? Measuring the Direct Care Workforce in Rural Areas.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Long-Term Care Options in Florida: Their Availability by County Demographics.Journal of racial and ethnic health disparities · 2022
    Article
  11. Article
  12. COVID-19 Pandemic Impact on Nursing Homes Financial Performance.Inquiry : a journal of medical care organization, provision and financing
    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

2 authors at 1 institution in 1 country.

Denise A Tyler1 Center for Gerontology & Healthcare Research, Brown University School of Public Health, Providence, RI, USA.
Mary L Fennell1 Center for Gerontology & Healthcare Research, Brown University School of Public Health, Providence, RI, USA.
Brown University · US

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI, Kali St. Marie Thomas · 2007 to 2026
$38.9M
NIA NIH HHS P01 AG027296
6 · The paper itself

Abstract

Policies to "rebalance" funding away from nursing homes and toward home and community-based services (HCBS) have encouraged national trends of nursing home closure and an expansion of the HCBS industry. These changes are unfolding without a clear understanding of what services are available at the local level. The purpose of this study was: (1) to describe the current distribution of community-based services (CBS) in areas where nursing homes have closed and (2) to examine differences in availability of CBS using local market and population characteristics as regressors in a multinomial logistic model. We collected data on and geocoded CBS facilities and then used ArcGIS to define a 5-mile radius around all nursing homes that closed between 2006 and 2010 and compared these local market areas. In rural areas, availability of CBS does not appear to compensate for nursing home closures. Policies encouraging HCBS may be outpacing availability of CBS, especially in rural areas.

Indexed as

Healthcare DisparitiesHealth Facility ClosureHealth Services AccessibilityHome Care ServicesHomes for the AgedHumansLogistic ModelsNursing HomesRural PopulationSocial WelfareUnited Statescommunity-based serviceslong-term carenursing homesrural access

Identifiers

PMID26685182
PMCPMC4912472
OpenAlexW2208539986

What OpenQuestion holds

Textmetadata
LicenceTDM
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.