Evidence map›Paper›PMID 36870364›Full record

ArticleJournal of the American Medical Directors Association2023

Pathways into Assisted Living Communities: Admission Limitations and Assessment Requirements Across the United States.

Brian Kaskie, Lili Xu, Lindsey Smith, Delaney Bounds, Paula Carder, Kali S Thomas

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Medical Directors Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

6 authors at 4 institutions in 1 country.

Brian KaskieDepartment of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA, USA. Electronic address: brian-kaskie@uiowa.edu.
Lili XuDepartment of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA, USA.
Lindsey SmithSchool of Public Health and Center for Gerontology and Healthcare Research, Brown University, Providence, RI, USA.
Delaney BoundsDepartment of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA, USA.
Paula CarderSchool of Public Health, Oregon Health Sciences University-Portland State University, Portland, OR, USA.
Kali S ThomasSchool of Public Health and Center for Gerontology and Healthcare Research, Brown University, Providence, RI, USA; U.S. Department of Veterans Affairs Medical Center, Providence, RI, USA.
University of Iowa · USBrown University · USPortland State University · USUnited States Department of Veterans Affairs · US

Funding

Do State Regulations Affect the Outcomes of Assisted Living Residents with Dementia?R01AG057746 · NIA · BROWN UNIVERSITY · PI THOMAS, KALI ST. MARIE · 2018 to 2020
$2.9M
NIA NIH HHS R01 AG057746
6 · The paper itself

Abstract

objectivesLimitations to admission play a critical role in shaping the composition of residents residing within licensed assisted living (AL) communities.

designWe document variation across 165 licensure classifications in how state agencies limit who AL communities may admit and what assessments are required to make those determinations. SETTING AND

participantsAL regulations and licensed AL communities across all 50 states in 2018.

methodsWe estimated the proportion of all licensed AL communities regulated by admission limitations and identified groups consisting of those that limit admission based on a health-related condition, specified behavior, mental health condition, and/or cognitive impairment as well as those that impose no limitations to admission. We also estimated the proportion of all licensed AL communities required to conduct assessments at time of admission.

resultsThe largest group of ALs (29% nationally) is governed by regulations limiting the admission of persons with a health condition. The next largest group of AL communities (23.6%) limit admissions based on health, specified behavior, mental health conditions, and cognitive impairment. In contrast, 11.1% of licensed AL communities have no regulations restricting admissions. We also found that more than 8 of every 10 licensed communities were required to have residents complete a health assessment at admission, but less than half were required to complete a cognitive assessment. CONCLUSIONS AND IMPLICATIONS: The variation we observe implies that state agencies have created multiple licensure classifications that serve as a mechanism for sorting types of residents into settings based on their need (eg, health, mental health, cognitive). Although future research should investigate the implications of this regulatory diversity, the categories outlined here may be helpful to clinicians, consumers, and policy makers to better understand the options in their state and how various AL licensure classifications compare to one another.

Indexed as

Assisted Living FacilitiesCognitive DysfunctionHospitalizationHumansUnited StatesadmissionAlzheimer's diseaseassisted livingretentionstate regulations

Identifiers

PMID36870364
PMCPMC10238629
OpenAlexW4322744622

What OpenQuestion holds

Textmetadata
LicenceTDM
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.