Evidence map›Paper›PMID 29350507›Full record

ArticleThe American journal of managed care2018

Hospital participation in Meaningful Use and racial disparities in readmissions.

Mark Aaron Unruh, Hye Young Jung, Rainu Kaushal, Joshua R Vest

Abstract readComparative Study
In one paragraph

Article in The American journal of managed care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. 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

4 authors.

Mark Aaron UnruhWeill Cornell Medical College, 402 E 67th St, New York, NY 10065. Email: mau2006@med.cornell.edu.
Hye Young Jung
Rainu Kaushal
Joshua R Vest

Funding

Hospitals' Adoption of EHRs and Re-hospitalization of Medicare BeneficiariesR03AG046671 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI UNRUH, MARK AARON · 2013 to 2014
$170k
NIA NIH HHS R03 AG046671
6 · The paper itself

Abstract

objectivesTo measure the impact of hospital participation in Meaningful Use (MU) on disparities in 30-day readmissions associated with race. STUDY

designA retrospective cohort study that compared the likelihood of 30-day readmission for Medicare beneficiaries discharged from hospitals participating in Stage 1 of MU with the likelihood of readmission for beneficiaries concurrently discharged from hospitals that were not participating in the initiative.

methodsInpatient claims for 2,414,205 Medicare beneficiaries from Florida, New York, and Washington State were used as the primary data source. The study period (2009-2013) included at least 2 years of baseline data prior to each hospital initiating participation in MU. Estimates were derived with linear regression models that included hospital and time fixed effects. By including both hospital and time fixed effects, estimates were based on discharges from the same hospital in the same time period.

resultsMU participation among hospitals was not associated with a statistically significant change in readmissions for the broader Medicare population (percentage points [PP], 0.6; 95% CI, -0.2 to 1.4), but hospitals' participation in the initiative was associated with a lower likelihood of readmission for African American beneficiaries (PP, -0.9; 95% CI, -1.5 to -0.4).

conclusionsHospital participation in MU reduced disparities in 30-day readmissions for African American Medicare beneficiaries.

Indexed as

AgedAged, 80 and overBlack or African AmericanCohort StudiesFemaleFloridaHealthcare DisparitiesHumansMaleMeaningful UseMedicareNew YorkPatient DischargePatient ReadmissionRacismReproducibility of Results

Identifiers

PMID29350507
PMCPMC6386151

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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.