A Profile of Black and Latino Older Adults Receiving Care in Nursing Homes: 2011-2017.
A Profile of Black and Latino Older Adults Receiving Care in Nursing Homes: 2011-2017.
复制标题
在疗养院接受护理的黑人和拉丁裔老年人概况：2011-2017 年。
DOI：
10.1016/j.jamda.2022.04.010
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发表时间：
2022
影响因子：
7.6
通讯作者：
Stone,PatriciaW
中科院分区：
文献类型：
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作者：
Travers,JasmineL;Dick,AndrewW;Wu,Bei;Grabowski,DavidC;Robison,Julie;Agarwal,Mansi;Perera,GayaniUduwanage;Stone,PatriciaW
目的确定黑人和拉丁裔老年人与白人老年人相比，在获得和使用养老院（NH）服务方面的差异趋势是否持续。Access作为服务于黑人、拉丁裔和白人居民的国民保健服务进行运作。使用被操作为黑人、拉丁裔和白人居民对NH服务的利用。这是一项观察性研究，分析了LTCfocus 2011年至2017年的设施级数据。背景和参与者2011年至2017年4月的第一个星期四参加医疗保险和医疗补助服务中心计划的所有美国NHs的NH居民。每年少于4500个卧床日的NHs被排除在LCTfocus数据集中。黑人、拉丁裔和白人是他们感兴趣的种族/族裔群体。方法我们计算每年NHs中每个种族/族裔群体（黑人、拉丁裔、白人）的平均百分比以及为这些群体提供护理的NHs数量。我们使用普通最小二乘进行了简单的趋势分析，以估计种族/民族群体在NH获取和使用方面的变化。结果2011年NH样本为15564例，2017年为14956例。拉美裔居民NHs使用率上升20.47%，黑人居民NHs使用率上升11.42%，而白人居民NHs使用率下降1.36%。在这7年间，为黑人和拉丁裔老年人提供服务的NHs数量分别下降了4.44%和6.41%，而仅为白人老年人提供服务的NHs数量下降了2.26%。我们的研究结果显示，黑人和拉丁裔老年人使用NHs的比例持续不成比例地上升，而为这一人群服务的NHs数量却在下降。这项工作可以为联邦和州的政策提供信息，以确保所有老年人在社区获得长期护理服务和支持，并防止不适当的NH关闭。
ObjectiveTo identify if disparate trends in the access and use of nursing home (NH) services among Black and Latino older adults compared with White older adults persist. Access was operationalized as the NHs that served Black, Latino, and White residents. Use was operationalized as the utilization of NH services by Black, Latino, and White residents.DesignThis was an observational study analyzing facility-level data from LTCfocus for 2011 to 2017.Setting and ParticipantsAll NH residents present in US NHs participating in the Centers for Medicare and Medicaid Services program on the first Thursday in April in the years 2011 to 2017. NHs with fewer than 4500 bed-days per year are excluded in the LCTfocus dataset. Black, Latino, and White were the racial/ethnic groups of interest.MethodsWe calculated the mean percentage of each racial/ethnic group in NHs (Black, Latino, White) annually along with the number of NHs that provided care for these groups. We conducted a simple trend analysis using ordinary least squares to estimate the change in NH access and use by racial/ethnic group over time.ResultsOur NH sample ranged from 15,564 in 2011 to 14,956 in 2017. Latino residents' use of NHs increased by 20.47% and Black residents increased by 11.42%, whereas there was a 1.36% decrease in White residents’ use of NHs. In this 7-year span, there was a 4.44% and 6.41% decline in the number of NHs that serve any Black and Latino older adults, respectively, compared with a 2.26% decline in NHs that serve only White older adults (access).Conclusions and ImplicationsOur findings reveal a continued disproportionate rise in Black and Latino older adults’ use of NHs while the number of NHs that serve this population have declined. This work can inform federal and state policies to ensure access to long-term care services and supports in the community for all older adults and prevent inappropriate NH closures.