Evidence map›Paper›PMID 27193697›Full record

ArticleHealth services research2017

The Contribution of Skilled Nursing Facilities to Hospitals' Readmission Rate.

Momotazur Rahman, John McHugh, Pedro L Gozalo, Dana Clay Ackerly, Vincent Mor

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
11.5field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 40 citations in OpenAlex.

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  7. The effect of performance pay incentives on market frictions: evidence from medicare.International journal of health economics and management · 2023
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  15. Observational
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  17. Hospital Readmission in Total Hip Replacement Patients in 2009 and 2014.Archives of physical medicine and rehabilitation · 2018
    Article
  18. Article
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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

5 authors at 2 institutions in 1 country.

Momotazur RahmanDepartment of Health Services Policy and Practice, Brown University, Providence, RI.
John McHughDepartment of Health Services Policy and Practice, Brown University, Providence, RI.
Pedro L GozaloDepartment of Health Services Policy and Practice, Brown University, Providence, RI.
Dana Clay AckerlyNaviHealth, Nashville, TN.
Vincent MorDepartment of Health Services Policy and Practice, Brown University, Providence, RI.
Brown University · USnaviHealth (United States) · US

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI · 2007 to 2026
$38.9M
TRAINing in Aging Health & Health Services for Alzheimer's Disease and Related Dementias (TRAIN-ADRD)T32AG023482 · NIA · BROWN UNIVERSITY · PI Vincent Mor, Theresa I. Shireman · 2004 to 2026
$3.0M
NIA NIH HHS P01 AG027296NIA NIH HHS T32 AG023482
6 · The paper itself

Abstract

objectiveTo examine the relative influence of hospital and skilled nursing facilities (SNFs) on 30-day rehospitalization. DATA SOURCES/SETTINGS: Elderly Medicare beneficiaries newly admitted to a SNF following hospitalization. STUDY

designWe ranked hospitals and SNFs into quartiles based on previous years' adjusted rehospitalization rates (ARRs) and examined how rehospitalizations from a given hospital vary depending upon the admitting SNF ARR quartile. We examined whether the availability of SNFs with low rehospitalization rates influenced hospitals' SNF readmission rates and whether changes in a hospital's ARR over 3 years is associated with changes in the SNFs to which they discharge. PRINCIPAL

findingsHospital readmission rates from SNFs varied 5 percentage points between patients discharged to SNFs in the lowest and the highest rehospitalization quartiles. Low rehospitalization rate hospitals sent a larger fraction of their patients to the lowest rehospitalization SNFs available in the area. A 10 percent increase in hospital's share of discharges to the lowest rehospitalization quartile SNFs is associated with a 1 percentage point reduction in hospital's ARR.

conclusionsThe SNF rehospitalization rate has greater influence on patients' risk of rehospitalization than the discharging hospital. Identifying high-performing SNFs may be a powerful strategy for hospitals to reduce rehospitalizations.

Indexed as

Aged, 80 and overFemaleHumansMaleMedicarePatient DischargePatient ReadmissionSkilled Nursing FacilitiesUnited States30-day rehospitalization ratehospital dischargeskilled nursing facilities

Identifiers

PMID27193697
PMCPMC5346496
OpenAlexW2404683907

What OpenQuestion holds

Textmetadata
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.