Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer's Disease and Related Dementias.

Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer's Disease and Related Dementias.
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患有阿尔茨海默病和相关痴呆症的不同长期护理居民群体的护理质量和结果。

DOI:
10.1177/08982643211043319
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发表时间:
2022-03
影响因子:
2.8
通讯作者:
Baldwin JA
Baldwin JA
中科院分区:
医学3区
文献类型:
--
作者:
Rivera-Hernandez M;Kumar A;Roy I;Fashaw-Walters S;Baldwin JA

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This article assessed whether disparities among ADRD Medicare beneficiaries existed in five different long-stay quality measures. We linked individual-level data and facility-level characteristics. The main quality outcomes included whether residents: 1) were assessed/appropriately given the seasonal influenza vaccine; 2) received an antipsychotic medication; 3) experienced one/more falls with major injury; 4) were physically restrained; and 5) lost too much weight. In 2016, there were 1,005,781 Medicare Advantage and fee-for-service long-term residents. About 78% were White, 13% Black, 2% Asian/Pacific Islander (Asian/PI), 6% Hispanic, and 0.4% American Indian/Alaska Native (AI/AN). Whites reported higher use of antipsychotic medications along with Hispanics and AI/AN (28%, 28%, and 27%, respectively). Similarly, Whites and AIs/ANs reported having one/more falls compared to the other groups (9% and 8%, respectively). Efforts to understand disparities in access and quality of care among American Indians/Alaska Natives are needed, especially post-pandemic.
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