Disparities in utilization of outpatient rehabilitative care following hip fracture hospitalization with respect to race and ethnicity.

Disparities in utilization of outpatient rehabilitative care following hip fracture hospitalization with respect to race and ethnicity.
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DOI:
10.1016/j.apmr.2008.10.021
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发表时间:
2009-04
影响因子:
4.3
通讯作者:
Goodwin, James S.
Goodwin, James S.
中科院分区:
医学1区
文献类型:
--
作者:
Nguyen-Oghalai, Tracy U.;Ottenbacher, Kenneth J.;Kuo, Yong-fang;Wu, Helen;Grecula, Michael;Eschbach, Karl;Goodwin, James S.

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比较3个种族组(白人、西班牙裔和黑人)老年人髋部骨折住院后出院回家与自我护理的患病率。二级数据分析。美国医院2001年至2005年期间,65岁及以上的医疗保险患者(N = 34,203)在髋部骨折住院后出院。不适用因出院回家自理。双变量分析显示,少数民族出院回家自我护理的比率较高,西班牙裔为16.4%,黑人为8.7%,白人为5.9%。在调整年龄、性别、Klabunde合并症指数、收入、入院年份、髋部骨折类型、手术稳定程序和住院时间后,西班牙裔出院回家自我护理的几率高3倍,黑人出院回家自我护理的几率高约50%。少数民族出院回家自我护理的比例较高,这突出表明少数民族髋部骨折患者门诊康复护理不佳的风险。
To compare the prevalence of discharge home to self-care after hip fracture hospitalization among the elderly in 3 racial groups: whites, Hispanics, and blacks. Secondary data analysis. US hospitals. Patients (N=34,203) aged 65 and older with Medicare insurance discharged after hip fracture hospitalization between 2001 and 2005. Not applicable. Discharge home to self-care. Bivariate analyses showed higher rates of discharge home to self-care among minorities, 16.4% for Hispanics, 8.7% for blacks, and 5.9% for whites. Hispanics had 3-fold higher odds of being discharged home to self-care, and blacks had about 50% higher odds of being discharged home to self-care after adjusting for age, sex, Klabunde’s comorbidity index, income, year of admission, type of hip fracture, surgical stabilization procedure, and length of hospital stay. The higher rate of discharge home to self-care among minorities underscores the risk of suboptimal outpatient rehabilitative care among minorities with hip fracture.
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