ArticleJournal of the American Geriatrics Society2021
Accountable Care Hospitals and Preventable Emergency Department Visits for Rural Dementia Patients.
Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.
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
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
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Rural and urban differences in quality of dementia care of persons with dementia and caregivers across all domains: a systematic review.BMC health services research · 2023Pooled it
- Emergency department visits among rural and urban older adults: disparities in ambulatory and emergency care sensitive conditions.BMC health services research · 2025Article
- End-of-Life Care and Health Care Spending for Medicare Beneficiaries With Dementia in Accountable Care Organizations.JAMA health forum · 2025Article
- Do Medicare Accountable Care Organizations Impact Health Care Utilization among Long-Stay Nursing Home Residents?Journal of the American Medical Directors Association · 2025Article
- Global rural health disparities in Alzheimer's disease and related dementias: State of the science.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Review
- Comparing emergency department use among individuals with varying levels of cognitive impairment.BMC geriatrics · 2022Article
- Evaluation of the American Hospital Association Annual Survey for health services research in emergency medicine.Journal of the American College of Emergency Physicians open · 2022Article
- Care transitions intervention reduces ED revisits in cognitively impaired patients.Alzheimer's & dementia (New York, N. Y.) · 2022Article
- Exploring hospital-based health information technology functions for patients with Alzheimer's Disease and related Dementias.Preventive medicine reports · 2021Article
- Rural-urban differences in modifiable dementia risk factors among U.S. populations aged 45 years or older.Journal of Alzheimer's disease reportsArticle
- Rural-urban disparities of Alzheimer's disease and related dementias: A scoping review.Alzheimer's & dementia (New York, N. Y.)Review
- Preventable Emergency Department Visits of Patients with Alzheimer's Disease and Related Dementias During the COVID-19 Pandemic by Hospital-Based Health Information Exchange.Gerontology & geriatric medicineArticle
Corrections and comments
- Erratum issuedErratum.2022
Authors and funding
3 authors.
Funding
Abstract
BACKGROUND/
objectivesThis study examined urban/rural differences in the frequency of preventable emergency department (ED) visits among patients with Alzheimer's disease and related dementias (ADRD), with a focus on the variation of accountable care organization (ACO) participation status for hospitals in urban and rural areas.
designWe performed a cross-sectional study using the 2015 State Emergency Department Databases, the American Hospital Association Annual Survey of Hospitals, and the Area Health Resource File. Individual-, county-, and hospital-level characteristics and state fixed effects were used for model specification.
settingPatients with ADRD from seven states who visited the ED and had routine discharges.
participantsOur sample consisted of 117,196 patients with ADRD. MEASUREMENTS: The outcome was preventable ED visits classified using the New York University Emergency Department visit algorithm. We performed a multivariable logistic regression to estimate the variation of preventable ED visits by urban and rural areas.
resultsRural patients with ADRD had 1.13 higher adjusted odds (P = .007) of going to the ED for a preventable visit compared with their urban counterparts. In addition, ACO-affiliated hospitals had .91 lower adjusted odds (P = .005) of preventable ED visits for ADRD patients compared with hospitals not affiliated with an ACO. Whole-county Mental Health Care Health Professional Shortage Area (HPSA) (odds ratio = 1.14; P = .002) designation was also an indicator of higher preventable ED rates.
conclusionACO delivery systems have the potential to decrease rural preventable ED visits among ADRD patients.
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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.