Evidence map›Paper›PMID 30653660›Full record

ArticleHealth services research2019

The effect of assigning dedicated general practitioners to nursing homes.

Cecilie Dohlmann Weatherall, Anne Toft Hansen, Sean Nicholson

Abstract read
In one paragraph

Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Antibiotic treatment and antimicrobial resistance in urinary tract infections among the older population in Denmark, 1999 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
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  9. Yonder: Eating disorders, neurology teaching, nursing homes, and foster carers.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    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.

Cecilie Dohlmann WeatherallKraks Fond - Institute for Urban Economic Research, Copenhagen, Denmark.
Anne Toft HansenUniversity of Copenhagen and VIVE - The Danish Center for Social Science Research, Copenhagen, Denmark.
Sean NicholsonDepartment of Policy Analysis and Management, Cornell University, Ithaca, New York.ORCID 0000-0002-0341-1214

Funding

Socialstyrrelsen - The National Board of Social Services; VIVE - The Danish Center for Social Science Research
6 · The paper itself

Abstract

objectiveTo determine whether assigning a dedicated general practitioner (GP) to a nursing home reduces hospitalizations and readmissions. DATA SOURCES/STUDY

settingSecondary data on hospitalizations and deaths by month for the universe of nursing home residents in Denmark from January 2011 through February 2014. STUDY

designIn 2012, Denmark initiated a program in seven nursing homes that volunteered to participate. We used a difference-in-differences model to estimate the effect of assigning a dedicated GP to a nursing home on the likelihood that a nursing home resident will be hospitalized, will experience a preventable hospitalization, and will be readmitted. The unit of observation is a resident-month. DATA COLLECTION/EXTRACTION

methodsData were extracted from the Danish public administrative register dataset. PRINCIPAL

findingsWe found that assigning a GP to a nursing home was associated with a 0.55 [95 percent CI, 0.08 to 1.02] percentage point reduction in the monthly probability of a preventable hospitalization, which was a 26 percent reduction from the preintervention level of 2.13 percentage points. The associated reduction in the monthly probability of a readmission was 0.68 [95 percent CI, -0.01 to 1.37] percentage points, which was a 25 percent reduction from the baseline level of 2.68 percentage points. Survey results indicated that the likely mechanism for the effect was more efficient and consistent communication between GPs and nursing home personnel.

conclusionsAssigning a dedicated physician in a nursing home can reduce medical spending and improve patients' health.

Indexed as

AgedAged, 80 and overAge FactorsCommunicationDenmarkFemaleGeneral PractitionersHomes for the AgedHospitalizationHumansMaleMortalityNursing HomesPolypharmacySex Factorsdedicated physiciansnursing homepreventable hospitalizationsreadmissions

Identifiers

PMID30653660
PMCPMC6505413

What OpenQuestion holds

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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.