FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4210438082> ?p ?o ?g. }

• W4210438082 endingPage "e214611" @default.
• W4210438082 startingPage "e214611" @default.
• W4210438082 abstract "<h3>Importance</h3> Low-income older adults who are dually eligible (DE) for Medicare and Medicaid often experience worse outcomes following hospitalization. Among other federal policies aimed at improving health for DE patients, Medicare has recently begun reporting disparities in within-hospital readmissions. The degree to which disparities for DE patients are owing to differences in community-level factors or, conversely, are amenable to hospital quality improvement, remains heavily debated. <h3>Objective</h3> To examine the extent to which within-hospital disparities in 30-day readmission rates for DE patients are ameliorated by state- and community-level factors. <h3>Design, Setting, and Participants</h3> In this retrospective cohort study, Centers for Medicare & Medicaid Services (CMS) Disparity Methods were used to calculate within-hospital disparities in 30-day risk-adjusted readmission rates for DE vs non-DE patients in US hospitals participating in Medicare. All analyses were performed in February and March 2019. The study included Medicare patients (aged ≥65 years) hospitalized for acute myocardial infarction (AMI), heart failure (HF), or pneumonia in 2014 to 2017. <h3>Main Outcomes and Measures</h3> Within-hospital disparities, as measured by the rate difference (RD) in 30-day readmission between DE vs non-DE patients following admission for AMI, HF, or pneumonia; variance across hospitals; and correlation of hospital RDs with and without adjustment for state Medicaid eligibility policies and community-level factors. <h3>Results</h3> The final sample included 475 444 patients admitted for AMI, 898 395 for HF, and 1 214 282 for pneumonia, of whom 13.2%, 17.4%, and 23.0% were DE patients, respectively. Dually eligible patients had higher 30-day readmission rates relative to non-DE patients (RD >0) in 99.0% (AMI), 99.4% (HF), and 97.5% (pneumonia) of US hospitals. Across hospitals, the mean (IQR) RD between DE vs non-DE was 1.00% (0.87%-1.10%) for AMI, 0.82% (0.73%-0.96%) for HF, and 0.53% (0.37%-0.71%) for pneumonia. The mean (IQR) RD after adjustment for community-level factors was 0.87% (0.73%-0.97%) for AMI, 0.67% (0.57%-0.80%) for HF, and 0.42% (0.29%-0.57%) for pneumonia. Relative hospital rankings of corresponding within-hospital disparities before and after community-level adjustment were highly correlated (Pearson coefficient, 0.98). <h3>Conclusions and Relevance</h3> In this cohort study, within-hospital disparities in 30-day readmission for DE patients were modestly associated with differences in state Medicaid policies and community-level factors. This suggests that remaining variation in these disparities should be the focus of hospital efforts to improve the quality of care transitions at discharge for DE patients in efforts to advance equity." @default.
• W4210438082 created "2022-02-08" @default.
• W4210438082 creator A5001943409 @default.
• W4210438082 creator A5011433279 @default.
• W4210438082 creator A5012654869 @default.
• W4210438082 creator A5027829793 @default.
• W4210438082 creator A5029584046 @default.
• W4210438082 creator A5030795111 @default.
• W4210438082 creator A5032296670 @default.
• W4210438082 creator A5035363775 @default.
• W4210438082 creator A5050431306 @default.
• W4210438082 creator A5055793967 @default.
• W4210438082 creator A5079304800 @default.
• W4210438082 date "2022-01-28" @default.
• W4210438082 modified "2023-10-01" @default.
• W4210438082 title "Factors Associated With Disparities in Hospital Readmission Rates Among US Adults Dually Eligible for Medicare and Medicaid" @default.
• W4210438082 cites W1982768347 @default.
• W4210438082 cites W2002079267 @default.
• W4210438082 cites W2070991337 @default.
• W4210438082 cites W2074158065 @default.
• W4210438082 cites W2099884610 @default.
• W4210438082 cites W2106372271 @default.
• W4210438082 cites W2106466051 @default.
• W4210438082 cites W2137259690 @default.
• W4210438082 cites W2160917197 @default.
• W4210438082 cites W2162726260 @default.
• W4210438082 cites W2239904484 @default.
• W4210438082 cites W2285216916 @default.
• W4210438082 cites W2342360716 @default.
• W4210438082 cites W2556349348 @default.
• W4210438082 cites W2735555952 @default.
• W4210438082 cites W2889237520 @default.
• W4210438082 cites W2889780930 @default.
• W4210438082 cites W2890933529 @default.
• W4210438082 cites W2913125295 @default.
• W4210438082 cites W2974909253 @default.
• W4210438082 cites W2978601458 @default.
• W4210438082 cites W3144637286 @default.
• W4210438082 cites W4238148062 @default.
• W4210438082 cites W4240390787 @default.
• W4210438082 cites W4247104682 @default.
• W4210438082 cites W4250224262 @default.
• W4210438082 cites W4252022569 @default.
• W4210438082 cites W4254695941 @default.
• W4210438082 doi "https://doi.org/10.1001/jamahealthforum.2021.4611" @default.
• W4210438082 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35977231" @default.
• W4210438082 hasPublicationYear "2022" @default.
• W4210438082 type Work @default.
• W4210438082 citedByCount "2" @default.
• W4210438082 countsByYear W42104380822023 @default.
• W4210438082 crossrefType "journal-article" @default.
• W4210438082 hasAuthorship W4210438082A5001943409 @default.
• W4210438082 hasAuthorship W4210438082A5011433279 @default.
• W4210438082 hasAuthorship W4210438082A5012654869 @default.
• W4210438082 hasAuthorship W4210438082A5027829793 @default.
• W4210438082 hasAuthorship W4210438082A5029584046 @default.
• W4210438082 hasAuthorship W4210438082A5030795111 @default.
• W4210438082 hasAuthorship W4210438082A5032296670 @default.
• W4210438082 hasAuthorship W4210438082A5035363775 @default.
• W4210438082 hasAuthorship W4210438082A5050431306 @default.
• W4210438082 hasAuthorship W4210438082A5055793967 @default.
• W4210438082 hasAuthorship W4210438082A5079304800 @default.
• W4210438082 hasBestOaLocation W42104380821 @default.
• W4210438082 hasConcept C126322002 @default.
• W4210438082 hasConcept C160735492 @default.
• W4210438082 hasConcept C162324750 @default.
• W4210438082 hasConcept C167135981 @default.
• W4210438082 hasConcept C194828623 @default.
• W4210438082 hasConcept C2776534028 @default.
• W4210438082 hasConcept C2776644030 @default.
• W4210438082 hasConcept C2777914695 @default.
• W4210438082 hasConcept C500558357 @default.
• W4210438082 hasConcept C50522688 @default.
• W4210438082 hasConcept C71924100 @default.
• W4210438082 hasConceptScore W4210438082C126322002 @default.
• W4210438082 hasConceptScore W4210438082C160735492 @default.
• W4210438082 hasConceptScore W4210438082C162324750 @default.
• W4210438082 hasConceptScore W4210438082C167135981 @default.
• W4210438082 hasConceptScore W4210438082C194828623 @default.
• W4210438082 hasConceptScore W4210438082C2776534028 @default.
• W4210438082 hasConceptScore W4210438082C2776644030 @default.
• W4210438082 hasConceptScore W4210438082C2777914695 @default.
• W4210438082 hasConceptScore W4210438082C500558357 @default.
• W4210438082 hasConceptScore W4210438082C50522688 @default.
• W4210438082 hasConceptScore W4210438082C71924100 @default.
• W4210438082 hasIssue "1" @default.
• W4210438082 hasLocation W42104380821 @default.
• W4210438082 hasLocation W42104380822 @default.
• W4210438082 hasLocation W42104380823 @default.
• W4210438082 hasOpenAccess W4210438082 @default.
• W4210438082 hasPrimaryLocation W42104380821 @default.
• W4210438082 hasRelatedWork W2115778339 @default.
• W4210438082 hasRelatedWork W2127234415 @default.
• W4210438082 hasRelatedWork W2133014316 @default.
• W4210438082 hasRelatedWork W2411420329 @default.
• W4210438082 hasRelatedWork W2594755499 @default.
• W4210438082 hasRelatedWork W2626334208 @default.
• W4210438082 hasRelatedWork W2885284228 @default.

• next