ArticleJournal of health economics2016
Do hospital-owned skilled nursing facilities provide better post-acute care quality?
Article in Journal of health economics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
What it found
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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.
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Who cites it
35 citing papers in PubMed.
- Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Trial
- Influence of Admitting Clinician on Outcomes in Post-Acute Facilities.Health services research · 2026Article
- Changes in Physician Workforce Composition and Rehospitalization From Post-Acute Care in Nursing Homes Between 2012 and 2019.Journal of the American Medical Directors Association · 2025Article
- The impact of vertical integration on health care delivery and costs: Evidence from physician-pharmacy integration.Journal of health economics · 2025Article
- Rural hospital closures and nursing home outcomes.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Association between discontinuity in clinicians and outcomes of nursing home residents.Health affairs scholar · 2024Article
- Nursing Home Compare star ratings before versus after a change in nursing home ownership.Journal of the American Geriatrics Society · 2024Article
- Potential US Health Care Savings Based on Clinician Views of Feasible Site-of-Care Shifts.JAMA network open · 2024Article
- Trends in Integration Between Physician Organizations and Pharmacies for Self-Administered Drugs.JAMA network open · 2024Article
- The health effects of nursing home specialization in post-acute care.Journal of health economics · 2023Article
- Association of Skilled Nursing Facility Ownership by Health Care Networks With Utilization and Spending.JAMA network open · 2023Article
- The Association Between Facility Affiliations and Revenue Generation in Skilled Nursing Facilities - An Exploratory Study.Journal of multidisciplinary healthcare · 2023Article
- Predicting Need for Skilled Nursing or Rehabilitation Facility after Outpatient Total Hip Arthroplasty.Hip & pelvis · 2022Article
- Trends in Post-Acute Care in US Nursing Homes: 2001-2017.Journal of the American Medical Directors Association · 2021Article
- Association of Private Equity Investment in US Nursing Homes With the Quality and Cost of Care for Long-Stay Residents.JAMA health forum · 2021Article
- The association of vertically integrated care with health care use and outcomes.Health services research · 2021Article
- The effects of vertically integrated care on health care use and outcomes in inpatient rehabilitation facilities.Health services research · 2021Article
- Rural-urban differences in diagnostic incidence and prevalence of Alzheimer's disease and related dementias.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021Article
- Organizational integration, practice capabilities, and outcomes in clinically complex medicare beneficiaries.Health services research · 2020Article
- Assessment of Rural-Urban Differences in Health Care Use and Survival Among Medicare Beneficiaries With Alzheimer Disease and Related Dementia.JAMA network open · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
As hospitals are increasingly held accountable for patients' post-discharge outcomes under new payment models, hospitals may choose to acquire skilled nursing facilities (SNFs) to better manage these outcomes. This raises the question of whether patients discharged to hospital-based SNFs have better outcomes. In unadjusted comparisons, hospital-based SNF patients have much lower Medicare utilization in the 180 days following discharge relative to freestanding SNF patients. We solved the problem of differential selection into hospital-based and freestanding SNFs by using differential distance from home to the nearest hospital with a SNF relative to the distance from home to the nearest hospital without a SNF as an instrument. We found that hospital-based SNF patients spent roughly 5 more days in the community and 6 fewer days in the SNF in the 180 days following their original hospital discharge with no significant effect on mortality or hospital readmission.
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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.