The characteristics and performance of hospitals that care for elderly Hispanic Americans
The characteristics and performance of hospitals that care for elderly Hispanic Americans
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DOI：
10.1377/hlthaff.27.2.528
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发表时间：
2008-03-01
期刊：
影响因子：
9.7
通讯作者：
Epstein, Arnold M.
中科院分区：
文献类型：
--
作者：
Jha, Ashish K.;Orav, E. John;Epstein, Arnold M.
保健地点可能在保健差距中发挥重要作用。我们调查了5%的美国医院，老年西班牙裔患者比例最高，发现这些医院照顾了一半以上的老年西班牙裔患者。这些医院往往是营利性的，医疗补助病人的比例较高，护士人数较少。他们还为普通医疗条件提供了质量稍低的护理。我们发现，对西班牙裔美国人的护理集中在少数医院，这为有针对性地改善对这一群体美国人的护理提供了机会。
The site of care may play an important role in health care disparities. We examined the 5 percent of U.S. hospitals with the highest proportion of elderly Hispanic patients and found that these hospitals cared for more than half of elderly Hispanics. These hospitals were more often for-profit, with higher rates of Medicaid patients and low nurse-staffing levels. They also provided a modestly lower quality of care for common medical conditions. Our finding that care for Hispanics is concentrated among a small number of hospitals provides an opportunity for targeted efforts to improve care for this group of Americans.