ArticleHealth services research2019
Postacute care outcomes and medicare payments for patients treated by physicians and advanced practitioners who specialize in nursing home practice.
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 22 papers.
What it found
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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
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.
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Who cites it
22 citing papers in PubMed.
- Clinician Specialization in Skilled Nursing Facility Practice and Post-Acute Outcomes of Patients With Dementia.Health services research · 2026Article
- Influence of Admitting Clinician on Outcomes in Post-Acute Facilities.Health services research · 2026Article
- Changes in Physician Workforce Composition and Rehospitalization From Post-Acute Care in Nursing Homes Between 2012 and 2019.Journal of the American Medical Directors Association · 2025Article
- Clinician Volume and Outcomes Among Patients Admitted to Nursing Homes for Postacute Care.JAMA network open · 2025Article
- Clinicians Who Practice Primarily in Nursing Homes and the Quality of Care for Residents With Alzheimer Disease and Related Dementias.JAMA health forum · 2025Article
- Association between discontinuity in clinicians and outcomes of nursing home residents.Health affairs scholar · 2024Article
- Clinicians Who Practice Primarily in Nursing Homes and the Quality of End-of-Life Care Among Residents.JAMA network open · 2024Article
- Clinicians who primarily practice in nursing homes and outcomes among residents with urinary tract infection or pneumonia.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- Potentially Harmful Medication Prescribing by the Degree of Physician Specialization in Nursing Home Practice: An Observational Study.Journal of the American Medical Directors Association · 2023Observational
- Prediction of rehospitalization and mortality risks for skilled nursing facilities using a dimension reduction approach.BMC geriatrics · 2023Article
- Use of Clinicians Who Focus on Nursing Home Care Among US Nursing Homes and Unplanned Rehospitalization.JAMA network open · 2023Article
- Successful Community Discharge Among Older Adults With Traumatic Brain Injury Admitted to Inpatient Rehabilitation Facilities.Archives of rehabilitation research and clinical translation · 2022Article
- Defining the Role and Value of Physicians Who Primarily Practice in Nursing Homes: Perspectives of Nursing Home Physicians.Journal of the American Medical Directors Association · 2022Article
- Reimagining Medical Care in Assisted Living.Journal of the American Medical Directors Association · 2022Article
- Growth of Physicians and Nurse Practitioners Practicing Full Time in Nursing Homes.Journal of the American Medical Directors Association · 2021Article
- Medical Care Delivery in U.S. Nursing Homes: Current and Future Practice.The Gerontologist · 2021Review
- The Characteristics of Physicians Who Primarily Practice in Nursing Homes.Journal of the American Medical Directors Association · 2021Article
- Expectations and experiences with physician care among patients receiving post-acute care in US skilled nursing facilities.BMC geriatrics · 2020Article
- Long-Term Care, Residential Facilities, and COVID-19: An Overview of Federal and State Policy Responses.Journal of the American Medical Directors Association · 2020Article
- Patient and Caregiver Perceptions of Nursing Home Physicians: Insight from Yelp Reviews, 2009-2018.Journal of the American Geriatrics Society · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo measure the association between clinician specialization in nursing home (NH) practice and outcomes of patients who received postacute care in skilled nursing facilities (SNFs). DATA SOURCES: Medicare claims and NH assessments for 2 118 941 hospital discharges to 14 526 SNFs in January 2012-October 2014 and MD-PPAS data for 52 379 clinicians. STUDY
designGeneralist physicians and advanced practitioners with ≥ 90 percent of claims for NH-based care were considered NH specialists. The primary clinician during each SNF stay was determined based on plurality of claims during that stay. We estimated the effect of being treated by a NH specialist on 30-day rehospitalizations, successful discharge to community, and 60-day episode-of-care Medicare payments (Parts A and B). All models included patient demographics, clinical variables, and SNF fixed effects. PRINCIPAL
findingsNursing home specialists' patients were less likely to be rehospitalized (14.71 percent vs 16.23 percent; adjusted difference, -1.51 percent, 95% CI -1.78 to -1.24), more likely to be successfully discharged to community (56.33 percent vs 55.49 percent; adjusted difference, 0.84 percent, 95% CI 0.54 to 1.14), but had higher 60-day Medicare payments ($31 628 vs $31 292; adjusted difference, $335; 95% CI $242 to $429).
conclusionsClinicians who specialize in NH practice may achieve better postacute care outcomes at slightly higher costs.
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