Assessment of health outcomes and social determinants of health in United States nursing homes

Assessment of health outcomes and social determinants of health in United States nursing homes | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Assessment of health outcomes and social determinants of health in United States nursing homes Felix M. Pabon-Rodriguez This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-3917460/v3 This work is licensed under a CC BY 4.0 License Status: Posted Version 3 posted You are reading this latest preprint version Show more versions Abstract Addressing health disparities has become an important concern in public health, underlying the need to comprehensively investigate and understand the social determinants of health to foster equitable healthcare outcomes. This descriptive analysis examines the temporal and spatial patterns of social determinants of health in United States nursing homes from 2020 to 2023. Leveraging quarterly data obtained from the Centers for Medicare and Medicaid Services, the study provides an overview of key social drivers of health, including functional status, cognitive status, psychosocial factors, geriatric syndromes, and more. Through visual exploration, the study aims to elucidate trends and variations over time and across different regions. The analysis adopts a descriptive approach, emphasizing qualitative insights and policy considerations. This study contributes to a better understanding of the contextual factors influencing health outcomes in nursing homes, offering valuable insights for potential policy enhancements. Biostatistics social determinants of health medicare health assessment public health Full Text Additional Declarations The authors declare no competing interests. Cite Share Download PDF Status: Posted Version 3 posted You are reading this latest preprint version Show more versions Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-3917460","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":271219072,"identity":"543c4cb2-d07b-43ae-8c7e-04ffc90b2d61","order_by":0,"name":"Felix M. Pabon-Rodriguez","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABAklEQVRIiWNgGAWjYBAC9gYGNgjrAGMDiJIDsx/g0cJzAE2LMZidQJwWCJUI1ohXi3Tzswcfd9yT47t9uPk1T0Vd+vywww+BttjJ6Tbg0CJzzNxw5pliY8lziW3WPGfYcjfeTjMAakk2NjuAXYu9RIKZNG9bQuKGM4xtxrxtPLkbZyeAtBxI3IZDC49E+jckLf8k0g1np38goCUHbkvzY94GgwR56RwCtsicKTec2ZZgLAm0hXHOsQTDDdI5BQcSDHD7hUe6fduDj20Jcnxn2B9/eFNTJy8/O33zhw8VdnK4tDBIIJhsYLYBWKUBDuVoWpg/gEj5BjyqR8EoGAWjYEQCAPLRYsHayMHAAAAAAElFTkSuQmCC","orcid":"https://orcid.org/0000-0003-3528-2354","institution":"Indiana University School of Medicine","correspondingAuthor":true,"prefix":"","firstName":"Felix","middleName":"M.","lastName":"Pabon-Rodriguez","suffix":""}],"badges":[],"createdAt":"2024-02-01 13:08:23","currentVersionCode":3,"declarations":{"humanSubjects":false,"vertebrateSubjects":false,"conflictsOfInterestStatement":false,"humanSubjectEthicalGuidelines":false,"humanSubjectConsent":false,"humanSubjectClinicalTrial":false,"humanSubjectCaseReport":false,"vertebrateSubjectEthicalGuidelines":false},"doi":"10.21203/rs.3.rs-3917460/v3","doiUrl":"https://doi.org/10.21203/rs.3.rs-3917460/v3","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":54112061,"identity":"5f119abe-f960-4dc6-a3d0-3369260e102d","added_by":"auto","created_at":"2024-04-04 18:37:53","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":202371,"visible":true,"origin":"","legend":"","description":"","filename":"AssessmentofhealthoutcomesandsocialdeterminantsofhealthinUnitedStatesnursinghomes.pdf","url":"https://assets-eu.researchsquare.com/files/rs-3917460/v3_covered_3eb909f7-c609-40ca-9c89-39359568ab6d.pdf"}],"financialInterests":"The authors declare no competing interests.","formattedTitle":"Assessment of health outcomes and social determinants of health in United States nursing homes","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"Indiana University School of Medicine","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"social determinants of health, medicare, health assessment, public health","lastPublishedDoi":"10.21203/rs.3.rs-3917460/v3","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-3917460/v3","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eAddressing health disparities has become an important concern in public health, underlying the need to comprehensively investigate and understand the social determinants of health to foster equitable healthcare outcomes. This descriptive analysis examines the temporal and spatial patterns of social determinants of health in United States nursing homes from 2020 to 2023. Leveraging quarterly data obtained from the Centers for Medicare and Medicaid Services, the study provides an overview of key social drivers of health, including functional status, cognitive status, psychosocial factors, geriatric syndromes, and more. Through visual exploration, the study aims to elucidate trends and variations over time and across different regions. The analysis adopts a descriptive approach, emphasizing qualitative insights and policy considerations. This study contributes to a better understanding of the contextual factors influencing health outcomes in nursing homes, offering valuable insights for potential policy enhancements.\u003c/p\u003e","manuscriptTitle":"Assessment of health outcomes and social determinants of health in United States nursing homes","msid":"","msnumber":"","nonDraftVersions":[{"code":3,"date":"2024-04-04 18:21:45","doi":"10.21203/rs.3.rs-3917460/v3","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}},{"code":2,"date":"2024-02-05 20:58:29","doi":"10.21203/rs.3.rs-3917460/v2","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}},{"code":1,"date":"2024-02-02 03:33:18","doi":"10.21203/rs.3.rs-3917460/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"20e3f308-8edb-4584-8398-f5b273faa832","owner":[],"postedDate":"April 4th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":30284374,"name":"Biostatistics"}],"tags":[],"updatedAt":"2024-02-13T08:47:18+00:00","versionOfRecord":[],"versionCreatedAt":"2024-04-04 18:21:45","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v3","identity":"rs-3917460","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-3917460","identity":"rs-3917460","version":["v3"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}