ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2019
Choosing the Best and Scrambling for the Rest: Hospital-Nursing Home Relationships and Admissions to Post-Acute Care.
Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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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
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Who cites it
16 citing papers in PubMed.
- Effectiveness of the PASRR Program Compared With Claims Data in Identifying Nursing Home Admissions With Mental Illness.Journal of the American Medical Directors Association · 2026Article
- Post-Hospital Access to Preferred and High-Quality Skilled Nursing Facilities for Patients With Opioid Use Disorder.Health services research · 2026Article
- Hospital and Skilled Nursing Facility Networks: Informal Relationships and Their Role in the Placement of Traditional Medicare Beneficiaries With Serious Mental Illness.Health services research · 2025Article
- Access to preferred skilled nursing facilities: Transitional care pathways for patients with Alzheimer's disease and related dementias.Health services research · 2024Article
- Perspectives on Admissions and Care for Residents With Opioid Use Disorder in Skilled Nursing Facilities.JAMA network open · 2024Article
- Risk of Discharge to Lower-Quality Nursing Homes Among Hospitalized Older Adults With Alzheimer Disease and Related Dementias.JAMA network open · 2023Article
- Changes in Nursing Home Populations Challenge Practice and Policy.Policy, politics & nursing practice · 2022Article
- Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer's Disease and Related Dementias.Journal of aging and health · 2022Article
- Plan Switching and Stickiness in Medicare Advantage: A Qualitative Interview With Medicare Advantage Beneficiaries.Medical care research and review : MCRR · 2021Article
- Higher hospital referral concentration associated with lower-risk patients in skilled nursing facilities.Health services research · 2021Article
- Relationship Between Nursing Home Compare Improvement in Function Quality Measure and Physical Recovery After Hip Replacement.Archives of physical medicine and rehabilitation · 2021Article
- Quality of Post-Acute Care in Skilled Nursing Facilities That Disproportionately Serve Hispanics With Dementia.Journal of the American Medical Directors Association · 2020Article
- Medicaid and Nursing Home Choice: Why Do Duals End Up in Low-Quality Facilities?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
- Health information exchange between hospital and skilled nursing facilities not associated with lower readmissions.Health services research · 2019Article
- Differences Between Skilled Nursing Facilities in Risk of Subsequent Long-Term Care Placement.Journal of the American Geriatrics Society · 2018Article
- Strategy and risk sharing in hospital-postacute care integration.Health care management reviewArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveWe explored post-Affordable Care Act hospital and skilled nursing facility (SNF) perspectives in discharge and admission practices.
methodInterviews were conducted with 138 administrative personnel in 16 hospitals and 25 SNFs in eight U.S. markets and qualitatively analyzed.
resultsHospitals may use prior referral rates and patients' geographic proximity to SNFs to guide discharges. SNFs with higher hospital referral rates often use licensed nurses to screen patients to admit more preferred patients. While SNFs with lower hospital referral rates use marketing strategies to increase admissions, these patients are often less preferred due to lower reimbursement or complex care needs.
conclusionAn unintended consequence of increased hospital-SNF integration may be greater disparity. SNFs with high hospital referral rates may admit well-reimbursed or less medically complex patients than SNFs with lower referral rates. Without policy remediation, SNFs with lower referral rates may thus care for more medically complex long-term care patients.
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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.