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Post‐acute care transitions during COVID ‐19: Racial, ethnic, and socioeconomic differences in older adults with Alzheimer's disease and related dementia
Ming‐Ting Yang, Helena Temkin‐Greener, Peter J. Veazie, Shubing Cai. Journal of the American Geriatrics Society, 2024-03-27
Topic: Risk, prevention and care in population studies
SNF discharges decreased while home and HHA discharges increased during the pandemic. The trend was more prominent among racial and ethnic minoritized groups and even more so among dual-eligible beneficiaries. For instance, the reduction in the probabilities of SNF admissions between the pre-pandemic period and the 2nd year of COVID was 4.6 (White non-duals), 18.5 (White duals), 8.7 (Black non-duals), and 20.1 (Black duals) percentage-point, respectively. We also found that non-duals were more likely to replace SNF with HHA services, while duals were more likely to be discharged home without HHA. The COVID-19 pandemic significantly impacted PAC destinations for individuals with ADRD, especially among socioeconomically disadvantaged and racial and ethnic minoritized populations. Future research is needed to understand if and how these transitions may have affected health outcomes.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Yang, M., Temkin‐Greener, H., Veazie, P. J., & Cai, S. (2024). Post‐acute care transitions during COVID ‐19: Racial, ethnic, and socioeconomic differences in older adults with Alzheimer's disease and related dementia. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.18884
Vancouver
Yang M, Temkin‐Greener H, Veazie PJ, Cai S. Post‐acute care transitions during COVID ‐19: Racial, ethnic, and socioeconomic differences in older adults with Alzheimer's disease and related dementia. Journal of the American Geriatrics Society. 2024. doi:10.1111/jgs.18884. PMID: 38539279.
BibTeX
@article{yang2024-38539279,
author = {Yang, Ming‐Ting and Temkin‐Greener, Helena and Veazie, Peter J. and Cai, Shubing},
title = {{Post‐acute care transitions during COVID ‐19: Racial, ethnic, and socioeconomic differences in older adults with Alzheimer's disease and related dementia}},
journal = {Journal of the American Geriatrics Society},
year = {2024},
doi = {10.1111/jgs.18884},
pmid = {38539279},
url = {https://doi.org/10.1111/jgs.18884}
}
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Key findings
- SNF discharges decreased while home and HHA discharges increased during the pandemic.
- The trend was more prominent among racial and ethnic minoritized groups and even more so among dual-eligible beneficiaries.
- For instance, the reduction in the probabilities of SNF admissions between the pre-pandemic period and the 2nd year of COVID was 4.6 (White non-duals), 18.5 (White duals), 8.7 (Black non-duals), and 20.1 (Black duals) percentage-point, respectively.
- We also found that non-duals were more likely to replace SNF with HHA services, while duals were more likely to be discharged home without HHA.
- The COVID-19 pandemic significantly impacted PAC destinations for individuals with ADRD, especially among socioeconomically disadvantaged and racial and ethnic minoritized populations.
Why it matters
During the COVID-19 pandemic, discharges to skilled nursing facilities fell while discharges home and to home health agencies rose for older adults with Alzheimer's disease and related dementias, with larger shifts among racial and ethnic minoritized groups and dual-eligible beneficiaries. This describes changes in where people received post-acute care, not any treatment, cure, or prevention of dementia.
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Study details
- Participants830,656
- Evidence strengthModerate
How this study scored 50/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomized / 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 | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2024 — within 3 year(s) of the newest study here |
| Sample size | 4 / 4 | 830,656 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 8 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.0 citations a year over 4 year(s) since 2024 |
| Impact for its field and year | 3 / 6 | Cited 4.2× 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 | 1 / 4 | Cited 8 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) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 38539279) |
| Free to read | 2 / 2 | Free to read |
| Total | 50 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1111/jgs.18884
- PubMed: 38539279
- Original source →
- Free full text: Europe PMC (PubMed Central) →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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