Evidence map›Paper›PMID 34615409›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2022

HCBS Service Spending and Nursing Home Placement for Patients With Alzheimer's Disease and Related Dementias: Does Race Matter?

Di Yan, Sijiu Wang, Helena Temkin-Greener, Shubing Cai

Open access · greenAbstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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  8. Article
  9. Paid Care Services and Transitioning out of the Community Among Black and White Older Adults With Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  10. Observational
  11. Medicaid Home and Community Based Services Spending and Nursing Home Use by Individuals Under the Age of 44.Inquiry : a journal of medical care organization, provision and financing
    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

4 authors at 2 institutions in 1 country.

Di YanDepartment of Public Health Sciences, 6923University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.ORCID 0000-0002-1628-0794
Sijiu WangDepartment of Public Health Sciences, 123964University of Chicago, Chicago, IL, USA.ORCID 0000-0002-6453-5149
Helena Temkin-GreenerDepartment of Public Health Sciences, 6923University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Shubing CaiDepartment of Public Health Sciences, 6923University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
University of Rochester · USChicago Department of Public Health · US

Funding

The impact of COVID-19 pandemic on community-dwelling older adults with ADRDRF1AG063811 · NIA · UNIVERSITY OF ROCHESTER · PI CAI, SHUBING · 2019 to 2020
$2.2M
Home and community based services among persons with ADRDR01AG052451 · NIA · UNIVERSITY OF ROCHESTER · PI CAI, SHUBING · 2016 to 2018
$1.4M
NIA NIH HHS R01 AG052451NIA NIH HHS RF1 AG063811
6 · The paper itself

Abstract

objectivesWe examined the extent to which home and community-based services (HCBS) spending affected the likelihood of nursing home (NH) placement among black and white HCBS users with Alzheimer's disease and related dementias (ADRD).

methodsThe study population included new HCBS users with ADRD between 2010 and 2013 (

resultsWe found that a one hundred dollar increase in monthly HCBS spending was associated with a 0.3 percentage points decrease in the NH placement rate among Whites, but a 0.3 percentage points increase in the NH placement rate among Blacks. The overall NH placement rate was 68.2% and 56.7% for Whites and Blacks, respectively. DISCUSSION: A higher HCBS spending was associated with a decreased likelihood of NH placements for Whites but not for Blacks. It is important to understand how states' HCBS expansion efforts influence Blacks and Whites with ADRD so that resources can be tailored to communities with different race-mix.

Indexed as

Alzheimer DiseaseHome Care ServicesCommunity Health ServicesHumansMedicaidNursing HomesSkilled Nursing FacilitiesUnited Statesalzheimer’s disease and related dementiasMedicaid home and community-based servicesnursing home placementracial difference

Identifiers

PMID34615409
PMCPMC8847325
OpenAlexW3201907971

What OpenQuestion holds

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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.