Evidence map›Paper›PMID 35981741›Full record

ArticleBMJ open quality2022

Transitional care innovation for Medicaid-insured individuals: early findings.

J Margo Brooks Carthon, Heather Brom, Rachel French, Marguerite Daus, Marsha Grantham-Murillo, Jovan Bennett, Kira Ryskina, Eileen Ponietowicz, Pamela Cacchione

Abstract read
In one paragraph

Article in BMJ open quality, 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
–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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

9 authors.

J Margo Brooks CarthonSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA jmbrooks@nursing.upenn.edu.
Heather BromCollege of Nursing, Villanova University, Villanova, Pennsylvania, USA.ORCID 0000-0002-4295-6372
Rachel FrenchNational Clinician Scholars Program Center for Mental Health, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Marguerite DausDenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care (COIN), VA Eastern Colorado Health Care System, Denver, Colorado, USA.
Marsha Grantham-MurilloPenn Medicine at Home, Philadelphia, Pennsylvania, USA.
Jovan BennettPenn Center for Community Health Workers, Philadelphia, Pennsylvania, USA.
Kira RyskinaUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Eileen PonietowiczPenn Presbyterian Medical Center, Philadelphia, Pennsylvania, USA.
Pamela CacchioneSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronically ill adults insured by Medicaid experience health inequities following hospitalisation. LOCAL PROBLEM: Postacute outcomes, including rates of 30-day readmissions and postacute emergency department (ED), were higher among Medicaid-insured individuals compared with commercially insured individuals and social needs were inconsistently addressed.

methodsAn interdisciplinary team introduced a clinical pathway called 'THRIVE' to provide postacute wrap-around services for individuals insured by Medicaid.

interventionEnrolment into the THRIVE clinical pathway occurred during hospitalisation and multidisciplinary services were deployed into homes within 48 hours of discharge to address clinical and social needs.

resultsCompared with those not enrolled in THRIVE (n=437), individuals who participated in the THRIVE clinical pathway (n=42) experienced fewer readmissions (14.3% vs 28.4%) and ED visits (14.3% vs 28.8 %).

conclusionTHRIVE is a promising clinical pathway that increases access to ambulatory care after discharge and may reduce readmissions and ED visits.

Indexed as

MedicaidTransitional CareAdultAmbulatory CareEmergency Service, HospitalHospitalizationHumansUnited StatesCommunity Health ServicesContinuity of Patient CareHealth EquityMultiple Chronic ConditionsTransitions in care

Identifiers

PMID35981741
PMCPMC9345087

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.