Evidence map›Paper›PMID 29748087›Full record

ArticleHealthcare (Amsterdam, Netherlands)2018

Trends in hospital-SNF relationships in the care of Medicare beneficiaries.

Joshua M Liao, R Tamara Konetzka, Rachel M Werner

Abstract read
In one paragraph

Article in Healthcare (Amsterdam, Netherlands), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
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

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Trends in Post-Acute Care in US Nursing Homes: 2001-2017.Journal of the American Medical Directors Association · 2021
    Article
  7. Article
  8. Observational
  9. Article
  10. Article
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

3 authors at 2 institutions in 1 country.

Joshua M LiaoDepartment of Medicine, University of Washington, Seattle, WA, United States; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, United States. Electronic address: joshliao@uw.edu.
R Tamara KonetzkaDepartment of Public Health Services, University of Chicago, Chicago, IL, United States.
Rachel M WernerLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, United States; Department of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
University of Pennsylvania · USUniversity of Chicago · US

Funding

Midcareer Mentoring Award for Patient-Oriented Research in AgingK24AG047908 · NIA · UNIVERSITY OF PENNSYLVANIA · PI WERNER, RACHEL M · 2014 to 2024
$2.0M
NIA NIH HHS K24 AG047908
6 · The paper itself

Abstract

Improving the value of post-acute care at skilled nursing facilities (SNFs) has become a Medicare policy priority. Anecdotally, hospitals have responded by formally acquiring or pursuing tighter informal connections with SNFs. We evaluated the trend in connections between US acute care hospitals and Medicare-certified SNFs between 2000 and 2013 using vertical integration and two novel network-based measures (number of SNF partners, and discharge concentration). Among 4441 hospitals and 17,215 SNFs, hospitals with weaker connections with SNFs were more often non-profit, major teaching hospitals with a larger number of discharges and beds. We found an apparent weakening of hospital-SNF connections over time for all three measures. Over one-third (39%) of hospitals were vertically integrated in 2000 compared to 8.2% in 2013. The number of SNF partners increased between 2000 and 2013, while hospitals' discharge concentration declined steadily. Additional work is needed to understand the implications of these trends.

Indexed as

Delivery of Health CareHospitalsHumansInsurance BenefitsMedicareSkilled Nursing FacilitiesUnited StatesHospitalsMedicarePost-acute careSkilled nursing facilities

Identifiers

PMID29748087
PMCPMC6344120
OpenAlexW2801543543

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.