ArticleHealth affairs (Project Hope)2019
Assessing First Visits By Physicians To Medicare Patients Discharged To Skilled Nursing Facilities.
Article in Health affairs (Project Hope), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed.
- Navigating Postacute Care Options for Patients After Hospital Discharge: A Review.JAMA internal medicine · 2026Review
- 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
- A model to increase care delivery in nursing homes: The role of Institutional Special Needs Plans.Health services research · 2025Article
- State scope of practice restrictions and nurse practitioner practice in nursing homes: 2012-2019.Health affairs scholar · 2024Article
- Association between Timing of Clinical Evaluation by a Physician or Advanced Practitioner and Risk of Rehospitalization in Older Adults Admitted to a Skilled Nursing Facility Following Hospitalization: A Cohort Study.Journal of the American Medical Directors Association · 2023Article
- Telemedicine Visits in US Skilled Nursing Facilities.JAMA network open · 2023Article
- Hospitals serving nursing home residents disproportionately penalized under hospital readmissions reduction program.Journal of the American Geriatrics Society · 2022Article
- Receipt of Timely Primary Care Services Following Post-Acute Skilled Nursing Facility Care.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
- The Impact of Nurse Practitioners on Hospitalizations and Discharges from Long-term Nursing Facilities: A Systematic Review.Healthcare (Basel, Switzerland) · 2020Review
- Variability in Transitional Care Outcomes Across Hospitals Discharging Veterans to Skilled Nursing Facilities.Medical care · 2020Observational
- Written discharge communication of diagnostic and decision-making information for persons living with dementia during hospital to skilled nursing facility transitions.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Although approximately one in five Medicare beneficiaries are discharged from hospital acute care to postacute care at skilled nursing facilities (SNFs), little is known about access to timely medical care for these patients after they are admitted to a SNF. Our analysis of 2,392,753 such discharges from hospitals under fee-for-service Medicare in the period January 2012-October 2014 indicated that first visits by a physician or advanced practitioner (a nurse practitioner or physician assistant) for initial medical assessment occurred within four days of SNF admission in 71.5 percent of the stays. However, there was considerable variation in days to first visit at the regional, facility, and patient levels. We estimated that in 10.4 percent of stays there was no physician or advanced practitioner visit. Understanding the underlying reasons for, and consequences of, variability in timing and receipt of initial medical assessment after admission to a SNF for postacute care may prove important for improving patient outcomes and particularly relevant to current efforts to promote value-based purchasing in postacute care.
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Registered trials
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.