ArticleAmerican journal of accountable care2017
Use of post-acute care after hospital discharge in urban and rural hospitals.
Article in American journal of accountable care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Care for Atrial Fibrillation and Outcomes in Rural Versus Urban Communities in the United States: A Systematic and Narrative Review.Journal of the American Heart Association · 2025Pooled it
- Post-Acute Care Trends and Disparities After Joint Replacements in the United States, 1991-2018: A Systematic Review.Journal of the American Medical Directors Association · 2024Pooled it
- Consistency of post-acute care discharge recommendations among acute care physical therapists: a national vignette survey study.Physiotherapy theory and practice · 2026Article
- Navigating Postacute Care Options for Patients After Hospital Discharge: A Review.JAMA internal medicine · 2026Review
- Allocation of Postacute Care Services Differs Among Rural and Urban Patients after Colon Cancer Resection.Journal of the American College of Surgeons · 2026Article
- Factors associated with post acute care utilization after mastectomy for breast cancer patients.Breast cancer (Tokyo, Japan) · 2025Article
- Social determinants of health and rehabilitation service areas: an urban and rural mediation analysis.Frontiers in public health · 2025Observational
- Utilization and Potential Disparities in Access to Physical Therapy for Spine Pain in the Long-Term Care Population.Archives of physical medicine and rehabilitation · 2024Article
- Development and Evaluation of Rehabilitation Service Areas for the United States.BMC health services research · 2023Article
- Rural-Urban Disparities in Outcomes of Myocardial Infarction, Heart Failure, and Stroke in the United States.Journal of the American College of Cardiology · 2022Article
- Savings and outcomes under Medicare's bundled payments initiative for skilled nursing facilities.Journal of the American Geriatrics Society · 2021Article
- An Initiative to Improve 30-Day Readmission Rates Using a Transitions-of-Care Clinic Among a Mixed Urban and Rural Veteran Population.Journal of hospital medicine · 2021Article
- Rural/urban differences in discharge from rehabilitation in older adults with traumatic brain injury.Journal of the American Geriatrics Society · 2021Article
- Understanding Variation in Postacute Care: Developing Rehabilitation Service Areas Through Geographic Mapping.American journal of physical medicine & rehabilitation · 2021Article
- Observational
- Home Health Rehabilitation Utilization Among Medicare Beneficiaries Following Critical Illness.Journal of the American Geriatrics Society · 2020Article
- The Impact Of Medicare's Rural Add-On Payments On Supply Of Home Health Agencies Serving Rural Counties.Health affairs (Project Hope) · 2020Article
- Assessment of Rural-Urban Differences in Postacute Care Utilization and Outcomes Among Older US Adults.JAMA network open · 2020Article
- Spatial association patterns between post-acute care services and acute care facilities in the United States.PloS one · 2020Article
- Home-Health-Care Physical Therapy Improves Early Functional Recovery of Medicare Beneficiaries After Total Knee Arthroplasty.The Journal of bone and joint surgery. American volume · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesGeographic variation in the use of post-acute care (PAC - skilled nursing facility and home health care) after hospital discharge is substantial, but reasons for this remain largely unexplored. PAC use in urban hospitals compared to rural hospitals may be one key contributor. We aimed to describe PAC use, explore substitution of one type of PAC for another, and identify how PAC use varies by diagnosis in urban and rural settings. STUDY
designSecondary analysis of the 2012 National Inpatient Sample including adult discharges to PAC after a hospitalization.
methodsWe adjusted for differences in patient demographics, comorbidities, hospital care provided, and hospital information, comparing use of PAC in urban and rural settings in multivariable logistic regression.
resultsRural patients discharged from rural hospitals constituted 188,137 (12.1%) of the 1.56 million discharges in the sample. Rural discharges received less home health care (0.85; 0.80-0.90) than urban discharges, resulting in less rural PAC use overall (0.95; 0.91-0.99). Rural discharges received more overall PAC for stroke (OR 1.11; 95% CI 1.03-1.19) and less PAC for sepsis (0.92; 0.86-0.98), hip fracture (0.82; 0.70-0.96), and elective joint arthroplasty, where rural discharges had 41% lower odds of receiving PAC (0.59; 0.49-0.71).
conclusionsThe striking differences in receipt of post-acute care in urban and rural patients may constitute a disparity. Evaluation of costs and outcomes of PAC use in these settings is urgently needed as Medicare expands bundled payments for this care.
Indexed as
Identifiers
29152607PMC5687058W2980437940What OpenQuestion holds
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.