Shubing Cai's research while affiliated with University of Rochester and other places

... Separate from NeighborhoodHELP, health systems throughout the country are developing programs to harness the information obtained by indices such as the ADI to target areas of high deprivation in ways that yield the largest impacts on health outcomes. There are now several examples of large academic health systems and state public insurance payers using the ADI to help create systems to identify and address patients' social needs, showing the critical future role that ADI can have in our health care system (Fahrenbach et al. 2020;Mensah and Riley 2021;Yan et al. 2021). ...

... Disagreements between individual judgments were resolved by discussion and consensus. Authors [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] were contacted to ascertain any required information that was missing or unclear and data provided directly by the authors [29,30,47] was included in this review (See PRISMA diagram, Fig. 1). Information that was not in the study was reported as 'NR' (not reported). ...

... Our findings provided a glimpse of the LTC service usage among patient-caregiver dyads of patients with dementia in Taiwan. Generosity and accessibility of the LTC service also contribute to the results (Wysocki et al., 2015;Wang S. et al., 2021). ...

... [3][4][5][6][7][11][12][13] Most patients and their families surveyed on HaH have expressed willingness to receive acute care at home in place of the hospital. 5,7,12,[14][15][16] Moreover, a growing body of literature suggests that HaH is cost-saving 2,5,15,[17][18][19][20][21][22][23][24][25][26][27] owing to shorter lengths of stay 5,12,22,26 and less healthcare utilization. 5,23 HaH episodes may further lower spending by reducing discharges to skilled nursing facilities (SNFs) 2, 12, 24 as well as hospital readmissions. ...

... Health services researchers are often interested in examining potential effect heterogeneity -i.e., moderation --when evaluating treatments, interventions, or health services received by individuals. [1][2][3][4][5][6] Understanding the influence that potential moderators may have on treatment effectiveness allows for greater understanding of the types of individuals who benefit the most (and least) from specific treatments and interventions, allowing more efficient targeting of resources. 7 In the context of observational data, moderation analyses --also referred to as treatment effect heterogeneity [8][9][10] and/or subgroup analyses 11,12 --allow researchers to explore important potential heterogeneity in the relationships between key exposures and health outcomes, leading to greater insights regarding population health and health disparities. ...

... There were 54 studies for which the full text was reviewed. Twenty of these studies were excluded for the following reasons: insufficient description of the data linkage process and datasets linked (14-20); the infectious disease event was identified as a result of the linkage rather than being initiated by the event (21); primary data collected specifically for the event were linked rather than routinely collected data (22, 23); a perspective paper (24), an editorial (25); outcomes not related to an infectious disease event (26,27); data not linked at an individual level (28,29); a description of a linked dataset (30,31); and study protocol only (32,33). The editorial referred to a study which was reviewed and included (34). ...

... Furthermore, while studies have examined dementia end-of-life care, the analyses often are restricted to nursing home residents. [14][15][16] These estimates are limited because they omit a substantial proportion of dementia patients living at home or other settings prior to death. 6 The samples typically lack racial and ethnic diversity, and thus robust data on non-White decedents with dementia are sparse. ...

... Since that was a cross-sectional study which could not ensure a temporal relationship, a recent cohort study in Canada showed that high primary care continuity might be an avenue for reducing potentially avoidable hospitalizations in community-dwelling persons with dementia on a population-wide scale [9]. Nevertheless, another large population-based observational study on older veterans with dementia in the US reached a different conclusion, showing that while better COC resulted in fewer hospitalizations, that effect was primarily due to less hospitalization for neuropsychiatric diseases/disorders and not hospitalization for ACSCs [24]. Given these mixed results, there remains a need to understand better the link between the continuity of care and potentially avoidable hospitalization in patients with dementia. ...

... It has been shown to increase client satisfaction, improve health status, and decrease the use of hospital services [9][10][11]. A lack of continuity can lead to polypharmacy, medical error and costly overuse of diagnostic tests [12][13][14]. However, most research on continuity of care focuses on primary care settings, and relatively little work has been done to assess continuity of care in long-term care settings [9]. ...

... Of these studies, 13 used a retrospective cohort design, 68,86,99-109 1 used an observational design, 110 1 used a cross-sectional design, 111 2 adopted a prognostic approach, 30,112 2 performed a longitudinal analysis, 113,114 and 2 used survey data. 115,116 A vast majority of studies used EHR data, while the remaining eight studies used administrative databases 100,106,107,109,111,114 or surveys as the primary collection tool. 115 86 and EHR data for medication orders. ...