Evidence map›Paper›PMID 32959048›Full record

ReviewThe Gerontologist2021

Medical Care Delivery in U.S. Nursing Homes: Current and Future Practice.

Paul R Katz, Kira Ryskina, Debra Saliba, Andrew Costa, Hye-Young Jung, Laura M Wagner, Mark Aaron Unruh, Benjamin J Smith, Andrea Moser, Joanne Spetz and 2 more

Abstract readReview
In one paragraph

Review in The Gerontologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Clinician type and care setting for treatment of Medicare beneficiaries with dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The Role of the Medical Director in Ontario Long-Term Care Homes: Impact of COVID-19.Journal of the American Medical Directors Association · 2022
    Article
  11. Article
  12. Article
  13. The Future Includes Nurse Practitioner Models of Care in the Long-Term Care Sector.Journal of the American Medical Directors Association · 2022
    Article
  14. Reimagining Medical Care in Assisted Living.Journal of the American Medical Directors Association · 2022
    Article
  15. Article
  16. Article
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

12 authors.

Paul R KatzDepartment of Geriatrics, Florida State University College of Medicine, Tallahassee.
Kira RyskinaDepartment of Medicine, University of Pennsylvania, Philadelphia.
Debra SalibaRand Corporation, Santa Monica, California.
Andrew CostaDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Hye-Young JungPopulation Health Sciences, Weill Cornell Medical College, New York City, New York.
Laura M WagnerHealthforce Center, University of California San Francisco.ORCID 0000-0002-9629-2153
Mark Aaron UnruhPopulation Health Sciences, Weill Cornell Medical College, New York City, New York.
Benjamin J SmithSchool of Physician Assistant Practice, Florida State University, Tallahassee.
Andrea MoserDepartment of Family and Community Medicine, University of Toronto, Ontario, Canada.
Joanne SpetzHealthforce Center, University of California San Francisco.ORCID 0000-0003-3112-5511
Sid FeldmanDepartment of Family and Community Medicine, University of Toronto, Ontario, Canada.
Jurgis KaruzaDepartment of Medicine, University of Rochester, New York.

Funding

Post-acute Care Outcomes of Patients with Alzheimer's Disease and Related Dementias: the Role of Skilled Nursing Facility SpecialistsR01AG070944 · NIA · UNIVERSITY OF PENNSYLVANIA · PI JUNG, HYE-YOUNG, RYSKINA, KIRA L · 2021 to 2025
$3.2M
UNDERSTANDING THE ROLE OF PHYSICIAN INTEGRATION WITHIN NURSING HOMES IN POST-ACUTE CARE OUTCOMESK08AG052572 · NIA · UNIVERSITY OF PENNSYLVANIA · PI RYSKINA, KIRA L · 2016 to 2020
$821k
NIA NIH HHS K08 AG052572NIA NIH HHS R01 AG070944
6 · The paper itself

Abstract

The delivery of medical care services in U.S. nursing homes (NHs) is dependent on a workforce that comprises physicians, nurse practitioners, and physician assistants. Each of these disciplines operates under a unique regulatory framework while adhering to common standards of care. NH provider characteristics and their roles in NH care can illuminate potential links to clinical outcomes and overall quality of care with important policy and cost implications. This perspective provides an overview of what is currently known about medical provider practice in NH and organizational models of practice. Links to quality, both conceptual and established, are presented as is a research and policy agenda that addresses the gaps in the evidence base within the context of our ever-changing health care landscape.

Indexed as

Nurse PractitionersNursing HomesDelivery of Health CareHumansModels, OrganizationalWorkforceMedical providerNursing homeQuality

Identifiers

PMID32959048
PMCPMC8496687

What OpenQuestion holds

Textmetadata
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.