ArticleHealth services research2018
Geographic Disparities in Access to Nursing Home Services: Assessing Fiscal Stress and Quality of Care.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 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.
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Who cites it
15 citing papers in PubMed.
- User-Generated Google Maps Ratings, State Staffing and Training Regulations, and the Quality of Hospice Care in Assisted Living Communities.Journal of the American Geriatrics Society · 2026Article
- Antiretroviral Therapy Changes for Medicare Beneficiaries With HIV Transitioning to Long-Term Care.JAMA network open · 2025Article
- Spatial equity and factors that influence the distribution of elderly care institutions in China.International journal of health geographics · 2025Article
- How Neighborhood Social Deprivation Is Associated With Nursing Home Quality: A Structure, Process, Outcome Model.Innovation in aging · 2025Article
- Does outsourcing enable the survival of good care homes? A longitudinal analysis of all care homes in England, 2011-2023.BMJ public health · 2024Article
- Hospice Quality, Race, and Disenrollment in Hospice Enrollees With Dementia.Journal of palliative medicine · 2023Article
- Severe neighborhood deprivation and nursing home staffing in the United States.Journal of the American Geriatrics Society · 2023Article
- Resident racial and ethnic composition, neighborhood-level socioeconomic status, and COVID-19 infections in California SNFs.Journal of the American Geriatrics Society · 2023Article
- Repeat hospital transfers among long stay nursing home residents: a mixed methods analysis of age, race, code status and clinical complexity.BMC health services research · 2022Article
- Neighborhood Socioeconomic Disadvantage and Disability After Critical Illness.Critical care medicine · 2022Article
- Trends in Post-Acute Care in US Nursing Homes: 2001-2017.Journal of the American Medical Directors Association · 2021Article
- Epidemiological characteristics and outcomes of COVID-19 cases: mortality inequalities by socio-economic status, Barcelona, Spain, 24 February to 4 May 2020.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2021Article
- Geographic Variation in Anticoagulant Use and Resident, Nursing Home, and County Characteristics Associated With Treatment Among US Nursing Home Residents.Journal of the American Medical Directors Association · 2021Article
- Quality of Nursing Homes and Admission of Residents With Alzheimer's Disease and Related Dementias: The Potential Influence of Market Factors and State Policies.Journal of the American Medical Directors Association · 2020Article
- Urban and Rural Disparities in Hospital Utilization among Indonesian Adults.Iranian journal of public health · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe test whether nursing homes serving predominately low-income and racial minority residents (compositional explanation) or located in neighborhoods with higher concentrations of low-income and racial minority residents (contextual explanation) have worse financial outcomes and care quality. DATA SOURCES: Healthcare Cost Report Information System, Nursing Home Compare, Online Survey Certification and Reporting Certification, and American Community Survey. STUDY
designA cross-sectional study design of nursing homes within U.S. metropolitan areas. DATA COLLECTION/EXTRACTION
methodsData were obtained from Centers for Medicare & Medicaid Services and U.S. Census Bureau. PRINCIPAL
findingsMedicaid-dependent nursing homes have a 3.5 percentage point lower operating ratio. Those serving primarily racial minorities have a 2.64-point lower quality rating. A 1 percent increase in the neighborhood population living in poverty is associated with a 1.20-point lower quality rating, on a scale from 10 to 50, and a 1 percent increase in the portion of neighborhood black residents is associated with a 0.8 percentage point lower operating ratio and a 0.37 lower quality rating.
conclusionsMedicaid dependency (compositional effect) and concentration of racial minority residents in neighborhoods (contextual effect) are associated with higher fiscal stress and lower quality of care, indicating that nursing homes' geographic location may exacerbate long-term care inequalities.
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