Evidence map›Paper›PMID 29917071›Full record

ArticleThe Gerontologist2019

Individualization and the Health Care Mosaic in Assisted Living.

Candace L Kemp, Mary M Ball, Molly M Perkins

Open access · bronzeAbstract read
In one paragraph

Article in The Gerontologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Governance of Assisted Living in Long-Term Care: A Systematic Literature Review.International journal of environmental research and public health · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
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  6. The Ethics in Long-Term Care Model: Everyday Ethics and the Unseen Moral Landscape of Assisted Living.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  7. Article
  8. Assisted Living Administrators' Approaches to Advance Care Planning.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  9. Article
  10. Limiting and Promoting Resident Self-Care in Assisted Living.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021
    Article
  11. Article
  12. 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

3 authors at 3 institutions in 1 country.

Candace L KempThe Gerontology Institute, Georgia State University, Atlanta.
Mary M BallDivision of General and Geriatric Medicine, Emory School of Medicine, Emory University, Atlanta, Georgia.
Molly M PerkinsDivision of General and Geriatric Medicine, Emory School of Medicine, Emory University, Atlanta, Georgia.
Emory University · USGeorgia State University · USGeriatric Research Education and Clinical Center · US

Funding

Convoys of Care: Developing Collaborative Care Partnerships in Assisted LivingR01AG044368 · NIA · GEORGIA STATE UNIVERSITY · PI KEMP, CANDACE LYNN · 2013 to 2017
$2.1M
NIA NIH HHS R01 AG044368
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAssisted living (AL) is a popular residential long-term care option for frail older adults in the United States. Most residents have multiple comorbidities and considerable health care needs, but little is known about their health care arrangements, particularly over time. Our goal is to understand how health care is managed and experienced in AL by residents and their care network members. RESEARCH DESIGN AND

methodsThis grounded theory analysis focuses on the delivery of health care in AL. Qualitative data were gathered from 28 residents and 114 of their care network members followed over a 2-year period in 4 diverse settings as part of the larger study, "Convoys of Care: Developing Collaborative Care Partnerships in Assisted Living."

resultsFindings show that health care in AL involves routine, acute, rehabilitative, and end-of-life care, is provided by residents, formal and informal caregivers, and occurs on- and off-site. Our conceptual model derived from grounded theory analysis, "individualizing health care," reflects the variability found in care arrangements over time and the multiple, multilevel factors we identified related to residents and caregivers (e.g., age, health), care networks (e.g., size, composition), residences (e.g., ownership), and community and regulatory contexts. This variability leads to individualization and a mosaic of health care among AL residents and communities. DISCUSSION AND IMPLICATIONS: Our consideration of health care and emphasis on care networks draw attention to the importance of communication and need for collaboration within care networks as key avenues for improving care for this and other frail populations.

Indexed as

Assisted Living FacilitiesCaregiversDelivery of Health CareHealth PersonnelActivities of Daily LivingAgedAged, 80 and overFemaleFrail ElderlyGrounded TheoryHumansMalePrecision MedicineQualitative ResearchRehabilitationTerminal CareFormal careHealth care arrangementsInformal careLong-term careQualitative research

Identifiers

PMID29917071
PMCPMC6939644
OpenAlexW2809048856

What OpenQuestion holds

Textmetadata
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.