Pedro Gozalo

Biographic Data

ID5533952
NAMEPedro Gozalo
GIVEN NAMESPedro
FAMILY NAMEGozalo
SIGNATUREGOZALO P
AFFILIATIONSBrown University
ORCID0000-0002-7063-1196
VERIFIEDYes
TOTAL WORKS14
TOTAL CITATIONS0
AUTHOR COUNT14
EDITOR COUNT0
FIRST PUBLICATION YEAR2011
LATEST PUBLICATION YEAR2024
H-INDEX0

  • Nurse Practitioner Care, Scope of Practice, and End-of-Life Outcomes for Nursing Home Residents With Dementia

    Open AccessCyrus M Kosar, Bishnu Bahadur Thapa et al.ARTICLEJAMA Health Forum2024

    The findings of this cohort study suggest that NPs appear to be important care providers during the end-of-life period for many nursing home residents with ADRD and that regulations governing NP scope of practice may have implications for end-of-life hospitalizations and hospice use in this population

  • Characteristics and End-of-Life Care Pathways of Decedents From a National Cohort of Assisted Living Residents

    Emmanuelle Bélanger, Nicole Rosendaal et al.ARTICLEMedical Care2024References: 13

    BACKGROUND: Assisted living (AL) is an increasingly common, place of care for dying persons. However, it remains unclear to what extent residents are able to age in place or if AL represents an additional transition before death. OBJECTIVES: Examine the sociodemographic characteristics, comorbidities, health care utilization, and end-of-life care pathways of AL residents before death. RESEARCH DESIGN: A national cohort study of fee-for-service Me…

  • Impact of higher payments for rural home health episodes on rehospitalizations

    Open AccessLacey Loomer, Momotazur Rahman et al.ARTICLEThe Journal of Rural Health2023

    PURPOSE: Home health agencies delivering care in rural counties face unique challenges when providing care to older adults; long travel times between each visit can limit the number of patients seen each day. In 2010, Medicare began paying home health (HH) providers 3% more to serve rural beneficiaries without evaluating the policy's impact on patient outcomes. METHODS: Using 100% Medicare data on postacute HH episodes from 2007 to 2014, we estim…

  • Comparison of the Pathway to Hospice Enrollment Between Medicare Advantage and Traditional Medicare

    Open AccessClaire K Ankuda, Emmanuelle Bélanger et al.ARTICLEJAMA Health Forum2023

    Compared with TM beneficiaries, those in MA were more likely to enroll in hospice from community settings vs following inpatient stays. However, hospice length of stay was not substantially different between MA and TM. Further research is needed to understand how MA plans influence hospice use and the direct association with quality of end-of-life care as reported by older adults and their families

  • Association Between State Regulations Supportive of Third-party Services and Likelihood of Assisted Living Residents in the US Dying in Place

    Open AccessEmmanuelle Bélanger, Nicole Rosendaal et al.ARTICLEJAMA Health Forum2022

    The findings of this cohort study suggest that a higher percentage of assisted living residents died in place in US states with regulations supportive of third-party services. In addition, assisted living residents in licensed settings with regulations supportive of hospice regulations were especially likely to die in place

  • Financing the Care of the Seriously Ill—“Hell No, I Won’t Go”

    Open AccessJoan M Teno, Pedro GozaloARTICLEJAMA Health Forum2021

  • The Effect of Physical and Cognitive Impairments on Caregiving

    Eric Jutkowitz, Pedro Gozalo et al.ARTICLEMedical Care2020References: 30

    BACKGROUND: Many older adults receive caregiving; however, less is known about how a change in a care recipient's functional activity limitations [instrumental activities of daily living (IADL) and basic activities of daily living (ADL)] as well as their cognitive impairment influence the amount of caregiving received. METHODS: Using the Health and Retirement Study (2002-2014) we identified community-dwelling respondents with Alzheimer disease an…

  • A New Data Resource to Examine Meals on Wheels Clients’ Health Care Utilization and Costs

    Mingyang Shan, Roee Gutman et al.ARTICLEMedical Care2019References: 16

    BACKGROUND: Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited. OBJECTIVES: To link Meals on Wheels (MOW) program data to Medicare claims to enable examination of clients' health and health care utilization and to highlight the utility of this linked dat…

  • The Prevalence of Culture Change Practice in US Nursing Homes: Findings From a 2016/2017 Nationwide Survey

    Suzanne C Miller, Susan C Miller et al.ARTICLEMedical Care2018References: 25

    BACKGROUND AND OBJECTIVES: Given the dynamic nursing home (NH) industry and evolving regulatory environment, depiction of contemporary NH culture-change (person/resident-centered) care practice is of interest. Thus, we aimed to portray the 2016/2017 prevalence of NH culture change-related processes and structures and to identify factors associated with greater practice prevalence. RESEARCH DESIGN AND METHODS: We administered a nationwide survey t…

  • A Methodology to Identify a Cohort of Medicare Beneficiaries Residing in Large Assisted Living Facilities Using Administrative Data

    Kali S Thomas, David Dosa et al.ARTICLEMedical Care2018References: 10

    BACKGROUND: Assisted living is a popular option for housing and long-term care. OBJECTIVE: To develop and test a methodology to identify Medicare beneficiaries residing in assisted living facilities (ALFs). RESEARCH DESIGN: We compiled a finder file of 9-digit ZIP codes representing large ALFs (25+ beds) by matching Outcome and Assessment Information Set (OASIS) assessments and Medicare Part B Claims to the Medicare enrollment records and address…

  • Constructing a Measure of Private-pay Nursing Home Days

    Kali S Thomas, Benjamin Silver et al.ARTICLEMedical Care2018References: 20

    BACKGROUND: Nursing home (NH) care is financed through multiple sources. Although Medicaid is the predominant payer for NH care, over 20% of residents pay out-of-pocket for their care. Despite this large percentage, an accepted measure of private-pay NH occupancy has not been established and little is known about the types of facilities and the long-term care markets that cater to this population. OBJECTIVES: To describe 2 novel measures of priva…

  • Punto Seguro: A Randomized Controlled Pilot Using Conditional Economic Incentives to Reduce Sexually Transmitted Infection Risks in Mexico

    Open AccessOmar Galárraga, G Sosa-Rubí et al.ARTICLEAIDS and Behavior2017

  • An Examination of the First 30 Days After Patients are Discharged to the Community From Hip Fracture Postacute Care

    Natalie E Leland, Pedro Gozalo et al.ARTICLEMedical Care2015References: 25

    BACKGROUND: Postacute care (PAC) rehabilitation aims to maximize independence and facilitate a safe community transition. Yet little is known about PAC patients' success in staying home after discharge or differences on this outcome across PAC providers. OBJECTIVES: Examine the percentage of PAC patients who remain in the community at least 30 days after discharge (ie, successful community discharge) after hip fracture rehabilitation and describe…

  • The Effect of Medicaid Nursing Home Reimbursement Policy on Medicare Hospice Use in Nursing Homes

    Suzanne C Miller, Susan C Miller et al.ARTICLEMedical Care2011References: 25

    OBJECTIVE: To understand how changes in Medicaid nursing home (NH) reimbursement policy and rates affect a NH's approach to end-of-life care (ie, its use of hospice). METHODS: This longitudinal study merged US NH decedents' (1999 to 2004) resident assessment data (MDS) with Part A claims data to determine the proportion of a NH's decedents using hospice. Freestanding NHs across the 48 contiguous US states were included. A NH-level analytic file w…