Evidence map›Paper›PMID 27964972›Full record

ArticleGeriatric nursing (New York, N.Y.)

Why older adults may decline offers of post-acute care services: A qualitative descriptive study.

Justine S Sefcik, Ashley Z Ritter, Emilia J Flores, Rebecca H Nock, Jo-Ana D Chase, Christine Bradway, Sheryl Potashnik, Kathryn H Bowles

Abstract read
In one paragraph

Article in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  3. Article
  4. Article
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  8. Racial Disparities in Post-Acute Home Health Care Referral and Utilization among Older Adults with Diabetes.International journal of environmental research and public health · 2021
    Article
  9. Article
  10. Relationships Between Race/Ethnicity and Health Care Utilization Among Older Post-Acute Home Health Care Patients.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020
    Article
  11. Article
  12. 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

8 authors at 2 institutions in 1 country.

Justine S SefcikUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Ashley Z RitterUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Emilia J FloresUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Rebecca H NockUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Jo-Ana D ChaseUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA; University of Missouri Sinclair School of Nursing, S343 Sinclair School of Nursing, Columbia, MO 65211, USA.
Christine BradwayUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Sheryl PotashnikUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Kathryn H BowlesUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA; Center for Home Care Policy and Research, Visiting Nurse Service of New York, USA. Electronic address: bowles@nursing.upenn.edu.
University of Pennsylvania · USVisiting Nurse Service of New York · US

Funding

Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
A mixed methods observational study of persistent vocalizations in nursing home residents with moderate to severe dementiaF31NR015693 · NINR · UNIVERSITY OF PENNSYLVANIA · PI SEFCIK, JUSTINE SUZETTE · 2015 to 2016
$50k
NINR NIH HHS F31 NR015693NINR NIH HHS T32 NR009356
6 · The paper itself

Abstract

The most common post-acute care (PAC) services available to patients after hospital discharge include home care, skilled nursing facilities, nursing homes, inpatient rehabilitation, and hospice. Patients who need PAC and receive services have better outcomes, however almost one-third of those offered services decline. Little research exists on PAC decision-making and why patients may decline services. This qualitative descriptive study explored the responses of thirty older adults to the question: "Can you, from the patient point of view, tell me why someone would not want post hospital care?" Three themes emerged. Participants may decline due to 1) previous negative experiences with PAC, or 2) a preference to be home. Some participants stated, "I'd be there" and would not decline services. Participants also discussed 3) why other patients might decline PAC which included patients' past experiences, lack of understanding/preconceived ideas, and preferences. Clinical implications include assessing patients' knowledge and experience before providing recommendations.

Indexed as

Patient DischargeAftercareAgedDecision MakingFemaleHome Care ServicesHospicesHumansMaleNursing HomesPatient Acceptance of Health CareQualitative ResearchSkilled Nursing FacilitiesDischarge decision makingDischarge planningOlder adultsPost-acute care servicesQualitative research

Identifiers

PMID27964972
PMCPMC5466841
OpenAlexW2560136549

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.