ArticleJournal of the American Geriatrics Society2017
How Hospital Clinicians Select Patients for Skilled Nursing Facilities.
Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed.
- Access to and Choice of High-Quality Skilled Nursing Facility Care for Veterans After Hospitalization: A Cohort Analysis.Journal of general internal medicine · 2026Article
- Navigating Postacute Care Options for Patients After Hospital Discharge: A Review.JAMA internal medicine · 2026Review
- Identifying Key Predictors of Appropriate Discharge Destinations for Older Inpatients in Acute Care: Scoping Review.Interactive journal of medical research · 2026Review
- Use of the iPRISM webtool in a learning community to assess implementation context and fit of a novel clinical decision support tool for physical therapy triage in acute care hospitals.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- 'They Were Talking to Each Other but Not to Me': Examining the Drivers of Patients' Poor Experiences During the Transition From the Hospital to Skilled Nursing Facility.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Access to preferred skilled nursing facilities: Transitional care pathways for patients with Alzheimer's disease and related dementias.Health services research · 2024Article
- Associations with Discharge to Post-Acute Care Facilities Among Patients Undergoing Open Reduction Internal Fixation of Distal Radius Fractures.Plastic surgery (Oakville, Ont.) · 2024Article
- Hospitalization and readmission after single-level fall: a population-based sample.Injury epidemiology · 2023Article
- Evaluating step-down, intermediate care programme in Buckinghamshire, UK: a mixed methods study.BMC public health · 2023Article
- Activity Measure for Post-Acute Care "6-Clicks" Basic Mobility Scores Predict Discharge Destination After Acute Care Hospitalization in Select Patient Groups: A Retrospective, Observational Study.Archives of rehabilitation research and clinical translation · 2022Article
- Postacute care outcomes in home health or skilled nursing facilities in patients with a diagnosis of dementia.Health services research · 2022Article
- Ability of the Functional Assessment in Acute Care Multidimensional Computerized Adaptive Test (FAMCAT) to Predict Discharge to Institutional Postacute Care.Archives of physical medicine and rehabilitation · 2022Article
- Referral to geriatric rehabilitation: a scoping review of triage factors in acutely hospitalised older patients.Age and ageing · 2022Article
- Discharge Communication of Dementia-Related Neuropsychiatric Symptoms and Care Management Strategies During Hospital to Skilled Nursing Facility Transitions.Journal of geriatric psychiatry and neurology · 2021Article
- Life-space mobility and healthcare costs and utilization in older men.Journal of the American Geriatrics Society · 2021Article
- How Context Influences Hospital Readmissions from Skilled Nursing Facilities: A Rapid Ethnographic Study.Journal of the American Medical Directors Association · 2021Article
- Information Sharing Practices Between US Hospitals and Skilled Nursing Facilities to Support Care Transitions.JAMA network open · 2021Article
- Accountable Care Organizations and Post-Acute Care: A Focus on Preferred SNF Networks.Medical care research and review : MCRR · 2020Article
- Mapping the care transition from hospital to skilled nursing facility.Journal of evaluation in clinical practice · 2020Article
- Cognitive Biases Influence Decision-Making Regarding Postacute Care in a Skilled Nursing Facility.Journal of hospital medicine · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo understand how hospital-based clinicians evaluate older adults in the hospital and decide who will be transferred to a skilled nursing facility (SNF) for postacute care.
designSemistructured interviews paired with a qualitative analytical approach informed by Social Constructivist theory.
settingInpatient care units in three hospitals. Purposive sampling was used to maximize variability in hospitals, units within hospitals, and staff on those units.
participantsClinicians (hospitalists, nurses, therapists, social workers, case managers) involved in evaluation and decision-making regarding postacute care (N = 25). MEASUREMENTS: Central themes related to clinician evaluation and discharge decision-making.
resultsClinicians described pressure to expedite evaluation and discharge decisions, resulting in the use of SNFs as a "safety net" for older adults being discharged from the hospital. The lack of hospital-based clinician knowledge of SNF care practices, quality, or patient outcomes resulted in lack of a standardized evaluation process or a clear primary decision-maker.
conclusionHospital clinician evaluation and decision-making about postacute care in SNFs may be characterized as rushed, without a clear system or framework for making decisions and uninformed by knowledge of SNF or patient outcomes in those discharged to SNFs. This leads to SNFs being used as a "safety net" for many older adults. As hospitals and SNFs are increasingly held jointly accountable for outcomes of individuals transitioning between hospitals and SNFs, novel solutions for improving evaluation and decision-making are urgently needed.
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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.