Disparities in Nursing Home Use and Quality Among African American, Hispanic, and White Medicare Residents With Alzheimer's Disease and Related Dementias.
Disparities in Nursing Home Use and Quality Among African American, Hispanic, and White Medicare Residents With Alzheimer's Disease and Related Dementias.
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DOI：
10.1177/0898264318767778
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发表时间：
2019-08
影响因子：
2.8
通讯作者：
Thomas KS
中科院分区：
文献类型：
--
作者：
Rivera-Hernandez M;Kumar A;Epstein-Lubow G;Thomas KS
本文探讨了养老院的使用和医疗保险受益人之间的质量差异，在医疗保险优势和收费服务，新入院的养老院阿尔茨海默氏症和相关痴呆症（ADRD）。回顾性，全国性，以人群为基础的研究医疗保险居民新入院的养老院与ADRD的种族和民族。我们的分析样本包括1，302，099名养老院居民-268，181名诊断为ADRD-自2014年以来，在13，532家养老院中。我们发现，与非裔美国人和白色受益人相比，入住养老院的西班牙裔医疗保险居民中有更大比例的ADRD。与白色居民相比，患有ADRD的西班牙裔和非洲裔美国人都在隔离的疗养院接受护理，资源较少，护理质量较低。这些结果有针对性的努力，以实现医疗保健的公平性和服务少数民族患者的养老院的质量改善工作的影响。
This article examines differences in nursing home use and quality among Medicare beneficiaries, in both Medicare Advantage and fee-for-service, newly admitted to nursing homes with Alzheimer’s disease and related dementias (ADRD). Retrospective, national, population-based study of Medicare residents newly admitted to nursing homes with ADRD by race and ethnic group. Our analytic sample included 1,302,099 nursing home residents—268,181 with a diagnosis of ADRD—in 13,532 nursing homes from 2014. We found that a larger share of Hispanic Medicare residents that are admitted to nursing homes have ADRD compared with African American and White beneficiaries. Both Hispanics and African Americans with ADRD received care in segregated nursing homes with fewer resources and lower quality of care compared with White residents. These results have implications for targeted efforts to achieve health care equity and quality improvement efforts among nursing homes that serve minority patients.
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影响因子：
168.9
作者：
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通讯作者：
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