Evidence map›Paper›PMID 32744938›Full record

ArticleHealth affairs (Project Hope)2020

Trends In Hospitals And Skilled Nursing Facilities Sharing Medical Providers, 2008-16.

Elizabeth M White, Cyrus M Kosar, Momotazur Rahman, Vincent Mor

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 14% of its field
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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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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

4 authors at 2 institutions in 2 countries.

Elizabeth M WhiteElizabeth M. White (elizabeth_white@brown.edu) is an investigator in the Department of Health Services, Policy, and Practice at the Brown University School of Public Health, in Providence, Rhode Island.
Cyrus M KosarCyrus M. Kosar is a doctoral candidate in the Department of Health Services, Policy, and Practice at the Brown University School of Public Health.
Momotazur RahmanMomotazur Rahman is an associate professor in the Department of Health Services, Policy, and Practice at the Brown University School of Public Health.
Vincent MorVincent Mor is a professor in the Department of Health Services, Policy, and Practice at the Brown University School of Public Health.
Department of Health Services · NPRhode Island Department of Health · US

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI · 2007 to 2026
$38.9M
National Research Service AwardT32HS000011 · AHRQ · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 1986 to 2024
$6.1M
AHRQ HHS T32 HS000011NIA NIH HHS P01 AG027296
6 · The paper itself

Abstract

Hospitals and skilled nursing facilities (SNFs) face increasing pressure to improve care coordination and reduce unnecessary readmissions. One strategy to accomplish this is to share physicians and advanced practice clinicians, so that the same providers see patients in both settings. Using 2008-16 Medicare claims, we found that as SNFs moved increasingly toward using SNF specialists, there was a steady decline in the number of facilities sharing medical providers and in the proportion of SNF primary care delivered by provider practices with both hospital and SNF clinicians (hospital-SNF practices). In SNF fixed effects analyses, we found that SNFs that increased primary care visits by hospital-SNF practices had slightly fewer readmissions, shorter lengths-of-stay, and increased successful community discharges. These findings suggest that SNFs that share medical providers with hospitals may see some benefit from that linkage, although the magnitude of the benefit may be small.

Indexed as

Skilled Nursing FacilitiesAgedHospitalsHumansMedicarePatient DischargePhysiciansSpecializationUnited StatesAdvanced practice cliniciansHealth care providershealth policyHospitalsMedicareMedicare savings programsNurse practitionersNursing homesPhysician assistantsPhysiciansPrimary carePrimary care providersSkilled nursing facilities

Identifiers

PMID32744938
PMCPMC7446141
OpenAlexW3046560127

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.