Changes over Time in Racial/Ethnic Differences in Quality of Life for Nursing Home Residents: Patterns within and between Facilities.
Changes over Time in Racial/Ethnic Differences in Quality of Life for Nursing Home Residents: Patterns within and between Facilities.
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DOI：
10.1177/0898264320939006
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发表时间：
2020-12
影响因子：
2.8
通讯作者：
Bowblis, John R.
中科院分区：
文献类型：
--
作者：
Shippee, Tetyana T.;Ng, Weiwen;Duan, Yinfei;Woodhouse, Mark;Akosionu, Odichinma;Chu, Haitao;Ahluwalia, Jasjit S.;Gaugler, Joseph E.;Virnig, Beth A.;Bowblis, John R.
调查养老院（NH）居民生活质量（QoL）的种族/民族差异趋势，并评估这些模式内和设施之间。数据包括明尼苏达州居民报告的生活质量调查（n = 60，093），最小数据集和设施水平特征（n = 376设施）。估计分层线性模型，以确定2011-2015年居民种族/民族和机构种族/少数民族组成的QoL差异。低比例种族/少数民族设施中的白色居民报告的生活质量高于高比例少数民族设施中的少数民族和白色居民。虽然每年的差异在统计上并不显著，但白人少数民族差异的点估计值随着时间的推移而扩大。QoL的种族/民族差异持续存在，并可能随着时间的推移而扩大。少数民族居民和高比例少数民族设施中的所有居民报告的生活质量差异强调了检查NH结构特征和实践的重要性，以最终实现最佳的，以人为本的护理目标。
To investigate trends in racial/ethnic differences in nursing home (NH) residents’ quality of life (QoL) and assess these patterns within and between facilities. Data include resident-reported QoL surveys (n = 60,093), the Minimum Data Set, and facility-level characteristics (n = 376 facilities) for Minnesota. Hierarchical linear models were estimated to identify differences in QoL by resident race/ethnicity and facility racial/ethnic minority composition for 2011–2015. White residents in low-proportion racial/ethnic minority facilities reported higher QoL than both minority and white residents in high-proportion minority facilities. While the year-to-year differences were not statistically significant, the point estimates for white–minority disparity widened over time. Racial/ethnic differences in QoL are persistent and may be widening over time. The QoL disparity reported by minority residents and all residents in high-proportion minority facilities underscores the importance of examining NH structural characteristics and practices to ultimately achieve the goal of optimal, person-centered care in NHs.
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