Disparties in Nursing Home Care by Race and Payer Status

描述(由申请者提供)：这个指导研究科学家发展奖(K01)的目的是为应聘者提供额外的培训和研究经验，使他能够追求老龄化方面的学术生涯，专注于养老院质量护理问题的经济学。为了充分了解和研究患者水平的质量衡量标准，应聘者需要获得专门的知识和技能。他提出了一个由资深教师组成的指导团队的职业发展计划，该团队将在使用患者级别的数据方面提供临床、测量和建模方面的专业知识。该研究计划包括对疗养院护理质量的设施内差异的研究。这项研究的第一个目的是测试养老院护理和养老院结果是否存在于同一设施中的医疗补助和私人付费居民之间的差异。这项研究的第二个目的是评估养老院护理和养老院结果在同一设施中的种族和少数民族以及多数居民之间是否存在差异。通过使用多年来MDS的最新数据，拟议的研究将极大地提高我们对不同付款人身份和种族的养老院质量差异的理解。这一结果将使提供者、倡导者、临床医生、消费者和政策制定者能够更好地评估和解决养老院护理设施内的差异。

DESCRIPTION (provided by applicant): The purpose of this Mentored Research Scientist Development Award (K01) is to provide the candidate, a recently graduated health economist, with additional training and research experience that will enable him to pursue an academic career in aging with a focus on the economics of nursing home quality care issues. In order to fully understand and investigate patient-level quality measures, the candidate will need to acquire specialized knowledge and skills. He proposes a career development plan with a mentoring team of senior faculty that will provide clinical, measurement, and modeling expertise in the use of patient-level data. The research program consists of a study of within-facility variation in the quality of nursing home care. The first aim of this study tests whether disparities in nursing home care and nursing home outcomes exist across Medicaid and private-pay residents within a common facility. The second aim of this study evaluates whether disparities in nursing home care and nursing home outcomes exist across racial and ethnic minority and majority residents within a common facility. By using recent MDS data over multiple years, the proposed study will greatly increase our understanding of differences in nursing home quality by payer status and race. The results will allow providers, advocates, clinicians, consumers and policymakers to better evaluate and address within-facility disparities in nursing home care.