Disparties in Nursing Home Care by Race and Payer Status

该指导研究科学家发展奖（K01）的目的是为候选人，最近毕业的健康经济学家，提供额外的培训和研究经验，使他能够从事老龄化的学术生涯，重点是养老院质量护理问题的经济学。为了充分理解和调查患者水平的质量措施，候选人将需要获得专业知识和技能。他提出了一个职业发展计划，由一个高级教师指导团队提供临床，测量和建模专业知识，使用患者级数据。该研究计划包括一项研究设施内的变化，在护理家庭护理的质量。本研究的第一个目的是测试在养老院护理和养老院的结果是否存在差异，在一个共同的设施内的医疗补助和私人支付的居民。本研究的第二个目的是评估在疗养院护理和疗养院的结果是否存在差异种族和少数民族和多数居民在一个共同的设施。通过使用最近多年的MDS数据，拟议的研究将大大增加我们对养老院质量差异的理解。研究结果将使提供者、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中的设施内差异。

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.