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38/100

✓ Peer-reviewed alzhub usefulness score 38 out of 100. Disparities

Topic: Risk, prevention and care in population studies

The study included 2.35 million beneficiaries in 2019 and 1.85 million in 2021. Non-COVID-19-related hospitalizations decreased from 24.0% in 2019 to 20.4% in 2021, while ACSC hospitalizations fell from 23.0% to 19.0% among those who were hospitalized. In 2019, Black and Hispanic individuals had 2.0 and 1.6 percentage points higher probabilities of ACSC hospitalization (p < 0.001), respectively, compared to White individuals, and dual-eligibles had a 2.8 percentage-point higher probability than non-dual-eligibles (p < 0.001). During the pandemic, overall hospitalizations and ACSC hospitalizations decreased, with dual-eligibles experiencing an additional 2.1 percentage-point reduction in ACSC hospitalizations(p < 0.001). Meanwhile, dual-eligibles experienced a 1.5 percentage-point increase in mortality rate in 2021 compared to 2019 (p < 0.001). Racial and ethnic minorities and the socioeconomically disadvantaged older adults with ADRD were more likely to experience ACSC hospitalizations compared to their counterparts before the pandemic.

Cite this study APA, Vancouver, BibTeX · download .bib or .ris

APA 7th

Cai, S., Qin, Q., Veazie, P. J., Conwell, Y., & Temkin‐Greener, H. (2025). Ambulatory Care Sensitive Hospitalizations and Disparities Among Older Adults With Dementia Before and During the Pandemic. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.19573

Vancouver

Cai S, Qin Q, Veazie PJ, Conwell Y, Temkin‐Greener H. Ambulatory Care Sensitive Hospitalizations and Disparities Among Older Adults With Dementia Before and During the Pandemic. Journal of the American Geriatrics Society. 2025. doi:10.1111/jgs.19573. PMID: 40481707.

BibTeX

@article{cai2025-40481707,
  author  = {Cai, Shubing and Qin, Qiuyuan and Veazie, Peter J. and Conwell, Yeates and Temkin‐Greener, Helena},
  title   = {{Ambulatory Care Sensitive Hospitalizations and Disparities Among Older Adults With Dementia Before and During the Pandemic}},
  journal = {Journal of the American Geriatrics Society},
  year    = {2025},
  doi     = {10.1111/jgs.19573},
  pmid    = {40481707},
  url     = {https://doi.org/10.1111/jgs.19573}
}

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Key findings

The study included 2.35 million beneficiaries in 2019 and 1.85 million in 2021.
Non-COVID-19-related hospitalizations decreased from 24.0% in 2019 to 20.4% in 2021, while ACSC hospitalizations fell from 23.0% to 19.0% among those who were hospitalized.
In 2019, Black and Hispanic individuals had 2.0 and 1.6 percentage points higher probabilities of ACSC hospitalization (p < 0.001), respectively, compared to White individuals, and dual-eligibles had a 2.8 percentage-point higher probability than non-dual-eligibles (p < 0.001).
During the pandemic, overall hospitalizations and ACSC hospitalizations decreased, with dual-eligibles experiencing an additional 2.1 percentage-point reduction in ACSC hospitalizations(p < 0.001).
Meanwhile, dual-eligibles experienced a 1.5 percentage-point increase in mortality rate in 2021 compared to 2019 (p < 0.001).

Why it matters

Among older adults with dementia, Black and Hispanic individuals and dual-eligible beneficiaries had higher probabilities of ambulatory care sensitive hospitalizations before the pandemic, and hospitalizations fell during the pandemic while dual-eligibles had increased mortality. This is about disparities in care and outcomes, not about treating or preventing dementia.

New to this subject? Start with our plain-English guide: Disparities →

Study details

Effect size24.0%; 20.4%; 23.0% to 19.0%
Evidence strengthLow

How this study scored 38/100

Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomised / blinded because the record does not state it.

Component	Points	Why
Journal tier	7 / 10	Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society)
Journal's citation record	3 / 4	Journal of the American Geriatrics Society: journal h-index 344 (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	4 / 5	2025 — within 3 year(s) of the newest study here
Sample size	0 / 4	Participant count not stated — scores zero (not stated in the record — scored 0)
Effect reported	2 / 3	Effect reported as a number, without an interval or test
Studied in people	0 / 3	Not stated whether this was studied in people — scores zero (not stated in the record — scored 0)
Randomised / blinded	0 / 2	No randomisation or blinding stated — scores zero (not stated in the record — scored 0)
Times cited	1 / 7	Cited 1 times (OpenAlex, 2026-10-10)
Citations per year	0 / 5	0.3 citations a year over 3 year(s) since 2025
Impact for its field and year	1 / 6	Cited 0.6× the average for papers of its field and year (OpenAlex FWCI)
Cited by studies here	1 / 6	Cited by 1 other studies in this library
Still being cited	0 / 4	Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex)
Senior author's track record	2 / 4	Last-listed author Helena Temkin‐Greener: h-index 36 (OpenAlex, whole career)
Institution's track record	1 / 3	University of Rochester: institution h-index 1,195 (OpenAlex)
Multi-centre collaboration	1 / 3	OpenAlex lists 2 institution(s) in 1 country
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 40481707)
Free to read	2 / 2	Free to read
Total	38 / 100	—

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