Evidence map›Paper›PMID 26765147›Full record

ArticleMedical care2016

Do Nursing Home Chain Size and Proprietary Status Affect Experiences With Care?

Kai You, Yue Li, Orna Intrator, David Stevenson, Richard Hirth, David Grabowski, Jane Banaszak-Holl

Abstract read
In one paragraph

Article in Medical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Nursing Home Chain Affiliation and Its Impact on Specialty Service Designation for Alzheimer Disease.Inquiry : a journal of medical care organization, provision and financing
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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.

Kai You*Department of Economics, University at Albany, State University of New York, Albany †Department of Public Health Sciences, Division of Health Policy and Outcomes Research, University of Rochester Medical Center, Rochester, NY ‡Department of Health Policy, Vanderbilt University School of Medicine, Nashville, TN §Department of Health Management and Policy, University of Michigan, Ann Arbor, MI ∥Department of Health Care Policy, Harvard Medical School, Boston, MA.
Yue Li
Orna Intrator
David Stevenson
Richard Hirth
David Grabowski
Jane Banaszak-Holl

Funding

Health Consequences of Corporate Changes in the Nursing Home IndustryR01AG042418 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BANASZAK-HOLL, JANE CATHERINE · 2012 to 2014
$1.2M
Organizational Factors and the Delivery of Nursing Home CareK01AG038481 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STEVENSON, DAVID GEORGE · 2011 to 2015
$611k
NIA NIH HHS K01 AG038481NIA NIH HHS R01 AG042418NIA NIH HHS R01AG042418
6 · The paper itself

Abstract

backgroundIn 2012, over half of nursing homes were operated by corporate chains. Facilities owned by the largest for-profit chains were reported to have lower quality of care. However, it is unknown how nursing home chain ownerships are related with experiences of care.

objectivesTo study the relationship between nursing home chain characteristics (chain size and profit status) with patients' family member reported ratings on experiences with care. DATA SOURCES AND STUDY

designMaryland nursing home care experience reports, the Online Survey, Certification, And Reporting (OSCAR) files, and Area Resource Files are used. Our sample consists of all nongovernmental nursing homes in Maryland from 2007 to 2010. Consumer ratings were reported for: overall care; recommendation of the facility; staff performance; care provided; food and meals; physical environment; and autonomy and personal rights. We identified chain characteristics from OSCAR, and estimated multivariate random effect linear models to test the effects of chain ownership on care experience ratings.

resultsIndependent nonprofit nursing homes have the highest overall rating score of 8.9, followed by 8.6 for facilities in small nonprofit chains, and 8.5 for independent for-profit facilities. Facilities in small, medium, and large for-profit chains have even lower overall ratings of 8.2, 7.9, and 8.0, respectively. We find similar patterns of differences in terms of recommendation rate, and important areas such as staff communication and quality of care.

conclusionsEvidence suggests that Maryland nursing homes affiliated with large-for-profit and medium-for-profit chains had lower ratings of family reported experience with care.

Indexed as

EnvironmentFood ServicesHealth Facilities, ProprietaryHomes for the AgedHumansLong-Term CareMarylandNursing HomesOrganizations, NonprofitPatient RightsPatient SatisfactionPersonal AutonomyPersonnel Staffing and SchedulingQuality of Health CareResidence CharacteristicsSocioeconomic Factors

Identifiers

PMID26765147
PMCPMC4752885

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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.