Evidence map›Paper›PMID 27500788›Full record

ArticleHealth services research2017

Rural-Urban Differences in the Effect of Follow-Up Care on Postdischarge Outcomes.

Matthew Toth, Mark Holmes, Courtney Van Houtven, Mark Toles, Morris Weinberger, Pam Silberman

Abstract readComparative Study
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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Article
  3. Post-Intensive Care Fragmentation Among Rural Veterans: Transitions Between VA and Community Health Systems.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  4. Article
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  10. 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

6 authors.

Matthew TothRTI International, Social Policy, Health and Economics Research, Research Triangle Park, NC.
Mark HolmesHealth Policy and Management, University of North Carolina, Chapel Hill, NC.ORCID 0000-0002-6169-7847
Courtney Van HoutvenCenter for Health Services Research in Primary Care, Durham VA Medical Center, US Department of Veterans Affairs, Durham, NC.
Mark TolesSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Morris WeinbergerHealth Policy and Management, University of North Carolina, Chapel Hill, NC.
Pam SilbermanHealth Policy and Management, University of North Carolina, Chapel Hill, NC.

Funding

North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008719 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DARVILLE, TONI, DESHMUKH, MOHANISH P · 1999 to 2023
$15.1M
UNC Clinical and Translational Science AwardUL1TR000083 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$11.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
Impacts of Cost Sharing and Echocardiography on Outpatient Care of Heart FailureF30HL110483 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FEDERSPIEL, JEROME JEFFREY · 2011 to 2014
$133k
AHRQ HHS T32 HS000032NCATS NIH HHS KL2 TR001109NCATS NIH HHS UL1 TR000083NCATS NIH HHS UL1 TR001111NHLBI NIH HHS F30 HL110483NIGMS NIH HHS T32 GM008719
6 · The paper itself

Abstract

objectiveTo assess rural-urban differences in quality of postdischarge care among Medicare beneficiaries, controlling for selection bias of postdischarge services. DATA SOURCES: The Medicare Current Beneficiary Survey (MCBS), Cost and Use Files from 2000 to 2010, the Area Resource File, Provider of Services File, and the Dartmouth Atlas of Health Care. STUDY

designRetrospective analysis of 30- and 60-day hospital readmission, emergency department (ED) use, and mortality using two-stage residual inclusion; receipt of 14-day follow-up care was the main independent variable. DATA EXTRACTION

methodWe defined index admission from the MCBS as any admission without a previous admission within 60 days. PRINCIPAL

findingsNoninstrumental variables estimation was the preferred estimation strategy. Fourteen-day follow-up care reduced the risk of readmission, ED use, and mortality. There were no rural- urban differences in the effect of 14-day follow-up care on readmission and mortality. Rural beneficiaries experienced a greater effect of 14-day follow-up care on reducing 30-day ED use compared to urban beneficiaries.

conclusionsFollow-up care reduces 30- and 60-day readmission, ED use, and mortality. Rural and urban Medicare beneficiaries experience similar beneficial effects of follow-up care on the outcomes. Policies that improve follow-up care in rural settings may be beneficial.

Indexed as

AftercarePatient DischargeRural PopulationUrban PopulationAgedAged, 80 and overEmergency Service, HospitalFemaleHumansMaleMedicareRetrospective StudiesUnited StatesED usefollow-up careMedicarepostdischargereadmissionrural

Identifiers

PMID27500788
PMCPMC5517676

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.