ArticleHealth services research2022
Postacute care outcomes in home health or skilled nursing facilities in patients with a diagnosis of dementia.
Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses 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.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The effect of psychosocial and healthcare interventions on reducing hospitalization in people with dementia: an umbrella review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Pooled it
- Pooled it
- Identifying and characterizing subgroups of medically complex older patients in community-based intermediate care: a latent class analysis of Danish municipal temporary stay patients.BMC health services research · 2026Article
- Navigating Postacute Care Options for Patients After Hospital Discharge: A Review.JAMA internal medicine · 2026Review
- Association of Cognitive Impairments and Alzheimer's Disease and Related Dementias With Hospital and Skilled Nursing Facility Utilization Among Community-Dwelling Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Observational
- The impact of home- and community-based services on life satisfaction among older adults: evidence from marginal treatment effect framework.Frontiers in public health · 2026Article
- Specialization of Home Health Agencies to Deliver Care for Medicare Advantage Patients.JAMA network open · 2025Article
- Post-Acute Care Admissions Among Medicare Beneficiaries With Disabilities During Payment Reform and the COVID-19 Pandemic.The Gerontologist · 2025Article
- Skilled home healthcare utilization and outcomes for older adults with dementia: A scoping review.Journal of the American Geriatrics Society · 2025Article
- Changes in skilled nursing and home health admissions associated with Medicare payment reforms and the COVID-19 pandemic.Journal of the American Geriatrics Society · 2025Article
- Post-acute care transitions during COVID-19: Racial, ethnic, and socioeconomic differences in older adults with Alzheimer's disease and related dementia.Journal of the American Geriatrics Society · 2024Article
- Racial/Ethnic Disparities in Hospital Readmission and Frequent Hospitalizations Among Medicare Beneficiaries With Alzheimer's Disease and Related Dementia: Traditional Medicare Versus Medicare Advantage.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Article
- Access to preferred skilled nursing facilities: Transitional care pathways for patients with Alzheimer's disease and related dementias.Health services research · 2024Article
- Improving Discharge Rates to Home With the Help of Mobility Technicians: A Step in the Right Direction.Cureus · 2023Article
- Using phenotypic data from the Electronic Health Record (EHR) to predict discharge.BMC geriatrics · 2023Observational
- Post-acute care transitions and outcomes among Medicare beneficiaries with dementia: Associations with race/ethnicity and dual status.Health services research · 2023Observational
- Postacute care outcomes in home health or skilled nursing facilities in patients with a diagnosis of dementia.Health services research · 2022Article
- The Impact of Nurse Practitioner-Led Primary Care on Quality and Cost for Medicaid-Enrolled Patients in States With Pay Parity.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo compare the outcomes of postacute care between home health (HH) and skilled nursing facilities (SNFs) following hospitalization among Medicare beneficiaries with a diagnosis of dementia. DATA SOURCES: 100% MedPAR data, Minimum Data Set, and Outcome and Assessment Information Set assessment data from January 1, 2015 to December 31, 2016. STUDY
designRetrospective cohort analysis using an instrumental variable design to compare outcomes (30-day readmission and mortality, 100-day mortality) of HH versus SNF following acute hospitalization. We used the differential distance between patients' home and the closest HH agency and SNF to instrument for nonrandom allocation of patients. DATA COLLECTION/EXTRACTION
methodsWe identified hospital discharges followed by SNF and HH stays for Medicare fee-for-service beneficiaries with dementia. We excluded beneficiaries younger than age 65, admitted to the hospital from a nursing home, or enrolled in hospice. We identified dementia using validated diagnostic codes with a 3-year look-back. PRINCIPAL
findingsOur sample included 977,946 beneficiaries with a diagnosis of dementia; 297,732 (30.4%) received HH, while 680,214 (69.6%) went to SNF. Overall, 16.8% were readmitted to the hospital and 6.1% died within 30 days, while 15.4% died within 100 days of hospital discharge. In the instrumental variable analysis, there were no differences in any outcome between the two postacute care settings.
conclusionsMedicare beneficiaries with a diagnosis of dementia receiving postacute care in HH or SNF experienced similar rates of readmission and mortality across settings. This finding raises important questions about current postacute care referral patterns, given 7 in 10 patients with a diagnosis of dementia in our sample were discharged to SNF.
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