Racial Differences in Patterns of Use of Rehabilitation Services for Adults Aged 65 and Older.
Racial Differences in Patterns of Use of Rehabilitation Services for Adults Aged 65 and Older.
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DOI：
10.1111/jgs.15136
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发表时间：
2017-12
影响因子：
6.3
通讯作者：
Cabral H
中科院分区：
文献类型：
--
作者：
Keeney T;Jette AM;Freedman VA;Cabral H
为了在接受康复服务的同时检查康复服务使用和功能改善的种族差异，对2016年全国健康和老龄化趋势研究(NHATS)标准化的面对面访谈进行了二次分析，访问了6,309名社区居住的联邦医疗保险参与者，其中1,276人报告在过去12个月中接受康复服务的患者报告的康复服务使用情况、环境(住院、门诊、家庭)、使用原因以及接受康复服务后对功能变化的看法控制性别、获得医疗补助的双重资格、年龄、慢性病数量、前一轮的功能流动性、收入和地理区域。白人在任何情况下接受康复治疗的几率是黑人的1.38倍(95%CI=1.09，1.75)。在接受治疗的人中，白人更有可能接受基于家庭和住院的康复服务，但在功能改善方面没有种族差异。需要制定战略，为需要康复服务的老年弱势群体，特别是老年非裔美国人，确定使用康复服务可能存在的障碍。
To examine racial differences in use of rehabilitation services and functional improvement while rehabilitation services were received Secondary analysis of the 2016 National Health and Aging Trends Study (NHATS) Standardized in-person home interviews 6,309 community-dwelling Medicare enrollees, 1,276 of whom reported receiving rehabilitation services in the previous 12 months Patient-reported use of rehabilitation services, setting (inpatient, outpatient, home-based), reason for use, and perceptions of change in functioning after receiving rehabilitation services Controlling for gender, dual eligibility for Medicaid, age, number of chronic conditions, functional mobility at the prior round, income, and geographic region, Whites had 1.38 times the odds of receiving rehabilitation in any setting compared to Blacks (95% CI=1.09, 1.75). Among those receiving therapy, Whites were more likely to receive home-based and inpatient rehabilitation services, but there were no racial differences in improvement in function. Strategies are needed to identify possible barriers to use of rehabilitation services for vulnerable groups of aging individuals who need rehabilitation services, particularly for older African Americans.
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影响因子：
6.3
作者：
Edes, Thomas;Kinosian, Bruce;Hossain, Monir
通讯作者：
Hossain, Monir
影响因子：
3
作者：
SHORTELL, SM;ROUSSEAU, DM;SIMONS, TL
通讯作者：
SIMONS, TL
DOI：
10.2307/3348969
发表时间：
1966-01-01
期刊：
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY
影响因子：
--
作者：
DONABEDIAN, A
通讯作者：
DONABEDIAN, A
影响因子：
3.3
作者：
Beales, Julie Leftwich;Edes, Thomas
通讯作者：
Edes, Thomas
影响因子：
4.5
作者：
Harris PA;Taylor R;Thielke R;Payne J;Gonzalez N;Conde JG
通讯作者：
Conde JG