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Hcbs Service Intensity and Nursing Home Placement for Patients with Alzheimer's Disease and Related Dementias: Does Race Matter?
Di Yan, S. Wang, Helena Temkin‐Greener, Shubing Cai. Health Services Research, 2020-08-01
Topic: Risk, prevention and care in population studies
The overall NH admission rate among HCBS users with ADRD was 67%, 55%, and 36% for whites, blacks, and others, respectively. After accounting for individual covariates, whites continued to exhibit a higher NH admission rate, as compared with two other race groups. A one hundred dollars increase in monthly HCBS spending was associated with a 0.3 percentage points (P < 0.01) decrease in admission rate among whites, but a 0.3 percentage points (P < 0.01) increase among blacks. Conclusions Our findings suggest that among dual‐eligible HCBS users with ADRD, whites were more likely to have NH admission within 1 year than non‐whites. Moreover, higher intensity of HCBS in a county was associated with lower a NH admission rate among whites, but a higher rate among blacks.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Yan, D., Wang, S., Temkin‐Greener, H., & Cai, S. (2020). Hcbs Service Intensity and Nursing Home Placement for Patients with Alzheimer's Disease and Related Dementias: Does Race Matter? Health Services Research. https://doi.org/10.1111/1475-6773.13353
Vancouver
Yan D, Wang S, Temkin‐Greener H, Cai S. Hcbs Service Intensity and Nursing Home Placement for Patients with Alzheimer's Disease and Related Dementias: Does Race Matter? Health Services Research. 2020. doi:10.1111/1475-6773.13353.
BibTeX
@article{yan2020-2309acf7,
author = {Yan, Di and Wang, S. and Temkin‐Greener, Helena and Cai, Shubing},
title = {{Hcbs Service Intensity and Nursing Home Placement for Patients with Alzheimer's Disease and Related Dementias: Does Race Matter?}},
journal = {Health Services Research},
year = {2020},
doi = {10.1111/1475-6773.13353},
url = {https://doi.org/10.1111/1475-6773.13353}
}
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Key findings
- The overall NH admission rate among HCBS users with ADRD was 67%, 55%, and 36% for whites, blacks, and others, respectively.
- After accounting for individual covariates, whites continued to exhibit a higher NH admission rate, as compared with two other race groups.
- A one hundred dollars increase in monthly HCBS spending was associated with a 0.3 percentage points (P < 0.01) decrease in admission rate among whites, but a 0.3 percentage points (P < 0.01) increase among blacks.
- Conclusions Our findings suggest that among dual‐eligible HCBS users with ADRD, whites were more likely to have NH admission within 1 year than non‐whites.
- Moreover, higher intensity of HCBS in a county was associated with lower a NH admission rate among whites, but a higher rate among blacks.
Why it matters
Among dual-eligible HCBS users with ADRD, whites had a higher nursing home admission rate than blacks and others, and a one hundred dollars increase in monthly HCBS spending was associated with a 0.3 percentage point decrease in admission rate among whites but a 0.3 percentage point increase among blacks. The study is about service use and nursing home placement, not about treating, curing, or preventing Alzheimer's disease.
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Study details
- Evidence strengthLow
How this study scored 31/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, 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 (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 | 2 / 5 | 2020 — within 10 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 | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| 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 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.2 citations a year over 8 year(s) since 2020 |
| Impact for its field and year | 0 / 6 | Cited 0.0× 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 2 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 | 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 | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Total | 31 / 100 | — |
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