ArticleBMC geriatrics2019
Persistent geographic variations in availability and quality of nursing home care in the United States: 1996 to 2016.
Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 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
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Who cites it
14 citing papers in PubMed.
- Analyzing Disparity in Geographical Accessibility to Home Medical Care Using a Claims Database and Geographical Information System: Simulation Study.JMIR aging · 2025Article
- Impact of an Inpatient COPD Care Pathway on Hospital Care Process and Outcome Metrics.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025Article
- Disparities in Access to Highly Rated Skilled Nursing Facilities among Medicare Beneficiaries with Opioid Use Disorder.Journal of the American Medical Directors Association · 2024Observational
- Racial, Ethnic, and Regional Disparities of Post-Acute Service Utilization After Stroke in the United States.Neurology. Clinical practice · 2024Article
- State-Level Adverse Outcomes Among Long-Term Services and Supports Users With Alzheimer's Disease and Related Dementias.Medical care research and review : MCRR · 2024Article
- Predictors of mortality shortly after entering a long-term care facility.Age and ageing · 2024Article
- Hospital Variation in Skilled Nursing Facility Use After Coronary Artery Bypass Graft Surgery.Journal of the American Heart Association · 2024Article
- Examining Regional Differences in Nursing Home Palliative Care for Black and Hispanic Residents.Journal of palliative medicine · 2022Article
- Quality of Nursing Homes Admitting Working-Age Adults With Serious Mental Illness.Psychiatric services (Washington, D.C.) · 2022Article
- Social and Regional Factors Predict the Likelihood of Admission to a Nursing Home After Acute Hospital Stay in Older People With Chronic Health Conditions: A Multilevel Analysis Using Routinely Collected Hospital and Census Data in Switzerland.Frontiers in public health · 2022Article
- Association of Public Reporting of Medicare Dialysis Facility Quality Ratings With Access to Kidney Transplantation.JAMA network open · 2021Article
- Patients discharged from higher-quality skilled nursing facilities spend more days at home.Health services research · 2021Article
- A Simple Physical Therapy Algorithm Is Successful in Decreasing Skilled Nursing Facility Length of Stay and Increasing Cost Savings After Hip Fracture With No Increase in Adverse Events.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- State Variability in the Prevalence and Healthcare Utilization of Assisted Living Residents with Dementia.Journal of the American Geriatrics Society · 2020Observational
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundAvailability of nursing home care has declined and national efforts have been initiated to improve the quality of nursing home care in the U.S. Yet, data are limited on whether there are geographic variations in declines of availability and quality of nursing home care, and whether variations persist over time. We sought to assess geographic variation in availability and quality of nursing home care.
methodsRetrospective study using Medicaid/Medicare-certified nursing home data from the Centers for Medicare & Medicaid Services, 1996-2016. Outcomes were 1) availability of all nursing home care (1996-2016), measured by the number of Medicaid/Medicare-certified beds for a given county per 100,000 population aged ≥65 years, regardless of nursing home star rating; 2) availability of 5-star nursing home care, measured by the number of Medicaid/Medicare-certified beds provided by 5-star nursing homes; and 3) utilization of nursing home beds, defined as the rate of occupied Medicaid/Medicare-certified beds among the total Medicaid/Medicare-certified beds.
resultsFrom 1999 to 2016, availability of all nursing home care declined from 4882 (standard deviation: 931) to 3480 (912) beds, per 100,000 population aged ≥65 years. Persistent geographic variation in availability of nursing home care was observed; the correlation coefficient of county-specific availabilities from 1996 to 2016 was 0.78 (95% CI 0.77-0.79). From 2011 to 2016, availability of 5-star nursing home beds increased from 658 (303) to 895 (661) per 100,000 population aged ≥65 years. The correlation coefficient for county-specific availabilities from 2011 to 2016 was 0.54 (95% CI 0.51-0.56). Availability and quality of nursing home care were not highly correlated. In 2016, the correlation coefficient for county-specific availabilities between all nursing home and 5-star nursing home beds was 0.33 (95% CI 0.30-0.36). From 1996 to 2016, the utilization of certified beds declined from 78.5 to 72.2%. This decline was consistent across all census divisions, but most pronounced in the Mountain division and less in the South-Atlantic division.
conclusionWe observed persistent geographic variations in availability and quality of nursing home care. Availability of all nursing home care declined but availability of 5-star nursing home care increased. Availability and quality of nursing home care were not highly correlated.
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