ArticleJournal of the American Geriatrics Society2019
Racial Disparities in Readmission Rates among Patients Discharged to Skilled Nursing Facilities.
Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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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
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Building evidence to advance health equity: a systematic review on care-related outcomes for older, minoritised populations in long-term care homes.Age and ageing · 2024Pooled it
- Changes in Patient Medical Complexity After Skilled Nursing Facility Payment Reform: A Qualitative Study.Journal of the American Medical Directors Association · 2026Article
- Methods for studying health disparities in U.S. nursing homes: a scoping review.BMC health services research · 2025Article
- Disparities in Trauma Care for Latino Patients: An Analysis by Trauma Center Verification Level.Cureus · 2024Article
- Comparison of Financial Hardship and Healthcare Utilizations Associated with Cancer in the United States Medicare Programs during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2024Article
- Assessing the difference in racial and ethnic disparities in access to and use of care between Traditional Medicare and Medicare Advantage.Health services research · 2023Article
- Risk Factors of Skilled Nursing Facility Admissions and the Interrelation With Hospitalization and Amount of Informal Caregiving Received.Medical care · 2022Observational
- Racial and ethnic differences in the improvement in daily activities during a nursing home stay.Journal of the American Geriatrics Society · 2022Article
- Healthcare utilization and costs among high-need and frail Mexican American Medicare beneficiaries.PloS one · 2022Article
- Association Between Cognitive Status and Falls With and Without Injury During a Skilled Nursing Facility Short Stay.Journal of the American Medical Directors Association · 2022Article
- Patients discharged from higher-quality skilled nursing facilities spend more days at home.Health services research · 2021Article
- Racial and Ethnic Disparities in COVID-19 Infections and Deaths Across U.S. Nursing Homes.Journal of the American Geriatrics Society · 2020Article
- COVID-19 Infections and Deaths among Connecticut Nursing Home Residents: Facility Correlates.Journal of the American Geriatrics Society · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesPrior studies have reported mixed findings about the existence of racial disparities in readmission rates among Medicare Advantage beneficiaries, but these studies used data from one state, focused on black-white disparities, and did not focus on patients discharged to skilled nursing facilities (SNFs). The objective of the study was to characterize racial and ethnic disparities in rates of 30-day rehospitalization directly from SNFs among fee-for-service and Medicare Advantage patients.
designA cross-sectional study of admissions to SNFs in 2015 was conducted.
settingSNFs across the United States.
participantsThe sample included 1 500 334 white, 213 848 African American, and 99 781 Hispanic Medicare patients who were admitted to 13 375 SNFs. MEASUREMENTS: The main outcome of interest was readmission, identified as patients sent back to any hospital directly from the SNF within 30 days of admission, as indicated on the Minimum Data Set discharge assessment.
resultsOverall readmission rates for fee-for-service patients were 16.7% (95% confidence interval [CI] = 16.7%-16.8%) for whites, 18.8% (95% CI = 18.7%-19.0%) for African Americans, and 17.4% (95% CI = 17.1%-17.7%) for Hispanics. Readmission rates in Medicare Advantage were 14.7% (95% CI = 14.5%-14.8%) for whites, 16.8% (95% CI = 16.6%-17.1%) for African Americans, and 15.3% (95% CI = 14.9%-15.6%) for Hispanics. We also found that African Americans had about 1% higher readmission rates than whites, even when they received care within the same SNF. No statistically significant differences were found in the magnitude of within-SNF racial disparities in Medicare Advantage compared with Medicare fee-for-service.
conclusionWe found racial disparities in readmission rates even within the same facility for both Medicare Advantage and fee-for-service beneficiaries. Intervention to reduce disparities in readmission rates, as well as more comprehensive quality measures that incorporate outcomes for Medicare Advantage enrollees, are needed. J Am Geriatr Soc 67:1672-1679, 2019.
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