{"id":"https://openalex.org/W2559068441","doi":"https://doi.org/10.1001/jamainternmed.2016.7128","title":"Avoiding Hospitalizations From Nursing Homes for Potentially Burdensome Care","display_name":"Avoiding Hospitalizations From Nursing Homes for Potentially Burdensome Care","publication_year":2016,"publication_date":"2016-11-28","ids":{"openalex":"https://openalex.org/W2559068441","doi":"https://doi.org/10.1001/jamainternmed.2016.7128","mag":"2559068441","pmid":"https://pubmed.ncbi.nlm.nih.gov/27893891","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/5345121"},"language":"en","primary_location":{"id":"doi:10.1001/jamainternmed.2016.7128","doi":"https://doi.org/10.1001/jamainternmed.2016.7128","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jamainternmed.2016.7128","pdf_url":null,"source":{"id":"https://openalex.org/S65364685","display_name":"JAMA Internal Medicine","issn_l":"2168-6106","issn":["2168-6106","2168-6114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5345121","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052206248","display_name":"Andrew B. Cohen","orcid":"https://orcid.org/0000-0001-9161-8436","observed_orcids":["https://orcid.org/0000-0001-9161-8436"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Andrew B. Cohen","raw_affiliation_strings":["Department of Medicine, Yale School of Medicine, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Yale School of Medicine, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074122733","display_name":"M. Tish Knobf","orcid":"https://orcid.org/0000-0001-6939-8262","observed_orcids":["https://orcid.org/0000-0001-6939-8262"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"M. Tish Knobf","raw_affiliation_strings":["Division of Acute Care/Health Systems, Yale School of Nursing, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Acute Care/Health Systems, Yale School of Nursing, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5079321105","display_name":"Terri R. Fried","orcid":"https://orcid.org/0000-0001-8083-8265","observed_orcids":["https://orcid.org/0000-0001-8083-8265"]},"institutions":[{"id":"https://openalex.org/I4210086971","display_name":"VA Connecticut Healthcare System","ror":"https://ror.org/000rgm762","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210086971","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Terri R. Fried","raw_affiliation_strings":["Clinical Epidemiology Research Center, VA Connecticut Health System, West Haven"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Epidemiology Research Center, VA Connecticut Health System, West Haven","institution_ids":["https://openalex.org/I4210086971"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5052206248"],"corresponding_institution_ids":["https://openalex.org/I32971472"],"apc_list":null,"apc_paid":null,"fwci":4.9616,"has_fulltext":false,"cited_by_count":23,"citation_normalized_percentile":{"value":0.94740781,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"177","issue":"1","first_page":"137","last_page":"137"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.8270999789237976,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.8270999789237976,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.16050000488758087,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.0044999998062849045,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nursing-home-residents","display_name":"nursing home residents","score":0.7540000081062317},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.718999981880188},{"id":"https://openalex.org/keywords/nursing-home-transfer","display_name":"nursing home transfer","score":0.4819999933242798},{"id":"https://openalex.org/keywords/iatrogenic-injury","display_name":"iatrogenic injury","score":0.8050000071525574},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.8669999837875366},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.7390000224113464}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9807924032211304},{"id":"https://openalex.org/C3019398978","wikidata":"https://www.wikidata.org/wiki/Q837142","display_name":"Nursing homes","level":2,"score":0.5753315091133118},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4911493957042694},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.49070823192596436},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3809181749820709},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.34242677688598633},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009735","descriptor_name":"Nursing Homes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1001/jamainternmed.2016.7128","doi":"https://doi.org/10.1001/jamainternmed.2016.7128","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jamainternmed.2016.7128","pdf_url":null,"source":{"id":"https://openalex.org/S65364685","display_name":"JAMA Internal Medicine","issn_l":"2168-6106","issn":["2168-6106","2168-6114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Internal Medicine","raw_type":"journal-article"},{"id":"pmid:27893891","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27893891","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA internal medicine","raw_type":"Letter"},{"id":"pmh:oai:europepmc.org:4661313","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5345121","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:5345121","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5345121","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"JAMA Intern Med","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:europepmc.org:4661313","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5345121","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G9000905218","display_name":"Yale Training Program in Geriatric Clinical Epidemiology and Aging-Related Research","funder_award_id":"T32AG019134","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G9000905448","display_name":"Yale Clinical and Translational Science Award","funder_award_id":"UL1TR001863","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G9000916443","display_name":"Claude D. Pepper Older Americans Independence Center at Yale","funder_award_id":"P30AG021342","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"},{"id":"https://openalex.org/F4320337472","display_name":"National Center for Advancing Translational Sciences","ror":"https://ror.org/04pw6fb54"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":5,"referenced_works":["https://openalex.org/W1492665281","https://openalex.org/W1522002143","https://openalex.org/W1556808170","https://openalex.org/W1995915666","https://openalex.org/W2235103859"],"related_works":["https://openalex.org/W2776899538","https://openalex.org/W3005430759","https://openalex.org/W1978287689","https://openalex.org/W2108093674","https://openalex.org/W7074239727","https://openalex.org/W4385233969","https://openalex.org/W4312036956","https://openalex.org/W2872475563","https://openalex.org/W2054809737","https://openalex.org/W1982387788"],"abstract_inverted_index":{"Nursing":[0],"home":[1],"residents":[2,44],"are":[3,49,56,72],"often":[4],"hospitalized":[5],"for":[6,68],"care":[7],"that":[8,18,87],"has":[9],"the":[10,16,19,22,37,79],"potential":[11],"to":[12,46,51,77],"be":[13],"burdensome,":[14],"in":[15],"sense":[17],"risks":[20],"outweigh":[21],"expected":[23],"benefits.1":[24],"These":[25],"hospitalizations":[26],"offer":[27],"little":[28],"hope":[29],"of":[30,33,39,81],"improving":[31],"quality":[32],"life":[34],"or":[35],"changing":[36],"course":[38],"illness":[40],"and":[41,84],"usually":[42],"involve":[43],"close":[45],"death":[47],"who":[48],"vulnerable":[50],"iatrogenic":[52],"harms.":[53],"Certain":[54],"facilities":[55,89],"more":[57],"successful":[58],"than":[59],"others":[60],"at":[61],"preventing":[62],"potentially":[63],"burdensome":[64],"hospitalizations.":[65],"The":[66],"reasons":[67],"their":[69],"success,":[70],"however,":[71],"poorly":[73],"understood.":[74],"We":[75],"sought":[76],"explore":[78],"causes":[80],"these":[82],"transfers":[83],"identify":[85],"practices":[86],"help":[88],"avoid":[90],"them.":[91]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":6},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-12-08T00:00:00"}