Evidence map›Paper›PMID 39097822›Full record

ArticleResearch on aging2025

Key Informants' Visions and Solutions to Improve Home- and Community-Based Services for Older Adults and Persons With Dementia.

Daniel Siconolfi, Molly Waymouth, Esther M Friedman, Debra Saliba, Regina A Shih

Abstract read
In one paragraph

Article in Research on aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Daniel SiconolfiRAND Corporation, Santa Monica, CA, USA.ORCID 0000-0002-7805-5410
Molly WaymouthRAND Corporation, Santa Monica, CA, USA.
Esther M FriedmanInstitute for Social Research, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0001-6813-6471
Debra SalibaRAND Corporation, Santa Monica, CA, USA.
Regina A ShihRAND Corporation, Santa Monica, CA, USA.

Funding

Evaluating disparities in older adult health, institutionalization, and mortality after implementation of Medicaid's Balancing Incentives ProgramR01MD010360 · NIMHD · RAND CORPORATION · PI SHIH, REGINA A · 2016 to 2020
$4.7M
NIMHD NIH HHS R01 MD010360
6 · The paper itself

Abstract

Recent decades have seen state successes in rebalancing Medicaid long-term care from institutional care (e.g., nursing homes) into home and community settings. However, significant barriers can prevent access to home and community-based services (HCBS) among older adults and persons with dementia. Qualitative research on potential innovations and solutions in the contemporary context with attention to a wider range of state-level policy contexts is limited. Drawing on interviews with 49 key informants including state Medicaid officials, HCBS providers, and advocates for persons with dementia across 11 states, we examined perceived solutions to barriers. Key informants articulated a range of potential solutions and innovations, ranging from tangible or realized policy changes to 'magic wand' solutions. Policy research has typically focused on the former; excluding the latter may miss opportunities to envision and design a more effective long-term care system for persons living with dementia and older adults.

Indexed as

Community Health ServicesDementiaHome Care ServicesMedicaidAgedFemaleHealth Services AccessibilityHumansLong-Term CareMaleQualitative ResearchUnited Statesdementiahome- and community-based serviceslong-term services and supportsolder adults

Identifiers

PMID39097822
PMCPMC11659055

What OpenQuestion holds

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Registered trials

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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.