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Admissions to High‐Quality Nursing Homes from Community: Racial Differences and Medicaid Policy Effects
Di Yan, Sujiu Wang, Helena Temkin‐Greener, Shubing Cai. Health Services Research, 2021-09-01
Topic: Risk, prevention and care in population studies
Key independent variables included the interaction of NH quality (measured by 5‐star rating) and race (i.e. black versus white), and interaction of NH quality, race, and state Medicaid dementia‐related add‐on policies. Overall, 50% of whites and 35% of blacks were admitted to high‐quality NHs (4‐ or 5‐star). Results from the McFadden's model suggested that blacks were less likely to be admitted to a high‐quality NH than whites (OR = 0.7, P < 0.01). However, the racial difference was reduced in states with dementia‐related add‐on policies, compared to states without these policies (OR = 1.2, P < 0.01).
Key findings
- Key independent variables included the interaction of NH quality (measured by 5‐star rating) and race (i.e. black versus white), and interaction of NH quality, race, and state Medicaid dementia‐related add‐on policies.
- Overall, 50% of whites and 35% of blacks were admitted to high‐quality NHs (4‐ or 5‐star).
- Results from the McFadden's model suggested that blacks were less likely to be admitted to a high‐quality NH than whites (OR = 0.7, P < 0.01).
- However, the racial difference was reduced in states with dementia‐related add‐on policies, compared to states without these policies (OR = 1.2, P < 0.01).
Why it matters
This study examined racial differences in admissions to high-quality nursing homes and how state Medicaid dementia-related add-on policies affected them. It concerns care access, not treating, curing, or preventing Alzheimer's disease.
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Study details
- Participants874,526
- Effect size14.7%; 16.6%; 9.6%
- Evidence strengthLow
How this study scored 43/100
Published in a peer-reviewed journal. Scored zero for study design and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Health Services Research) |
| Journal's citation record | 2 / 4 | Health Services Research: journal h-index 166 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 3 / 5 | 2021 — within 6 year(s) of the newest study here |
| Sample size | 4 / 4 | 874,526 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 4 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.6 citations a year over 7 year(s) since 2021 |
| Impact for its field and year | 1 / 6 | Cited 0.5× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 4 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Shubing Cai: h-index 21 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of Chicago: institution h-index 1,769 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Total | 43 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Yan, D., Wang, S., Temkin‐Greener, H., & Cai, S. (2021). Admissions to High‐Quality Nursing Homes from Community: Racial Differences and Medicaid Policy Effects. Health Services Research. https://doi.org/10.1111/1475-6773.13740
Vancouver
Yan D, Wang S, Temkin‐Greener H, Cai S. Admissions to High‐Quality Nursing Homes from Community: Racial Differences and Medicaid Policy Effects. Health Services Research. 2021. doi:10.1111/1475-6773.13740.
BibTeX
@article{yan2021-aada860b,
author = {Yan, Di and Wang, Sujiu and Temkin‐Greener, Helena and Cai, Shubing},
title = {{Admissions to High‐Quality Nursing Homes from Community: Racial Differences and Medicaid Policy Effects}},
journal = {Health Services Research},
year = {2021},
doi = {10.1111/1475-6773.13740},
url = {https://doi.org/10.1111/1475-6773.13740}
}
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