干旱区生态环境知识资源中心(Arid): Race and Ethnicity Are Related to Undesirable Home Health Care Outcomes in Seriously Ill Older Adults

Arid

DOI	10.1016/j.jamda.2024.03.003
	Race and Ethnicity Are Related to Undesirable Home Health Care Outcomes in Seriously Ill Older Adults
	Jones, Tessa; Luth, Elizabeth A.; Cleland, Charles M.; Brody, Abraham A.
通讯作者	Jones, T
来源期刊	JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
ISSN	1525-8610
EISSN	1538-9375
出版年	2024
卷号	25 期号:6
英文摘要	Objectives: Medicare Home Health Care (HHC) services are integral to the care of homebound seriously ill older adults requiring ongoing specialized medical care. Although disparities in health outcomes are well documented in inpatient and primary care, disparities experienced by historically marginalized racial and ethnic groups underrepresented in HHC are understudied. This study aimed to examine the relationship between individual characteristics and differences in HHC health outcomes for seriously ill older adults. Design: Secondary data analysis, repeated measure. Setting and Participants: Seriously ill older adults who received HHC in 2016 in the HHC Outcome and Assessment Information Set (OASIS). Methods: Start of care and discharge data from the 2016 HCC OASIS were used to examine the relationship between individual characteristics and differences in HHC health outcomes identified by the Centers for Medicare and Medicaid Services as key indicators of quality in HHC, including dyspnea, pain frequency, cognitive functioning, and presence of unhealed pressure ulcer stage II or higher. A generalized ordered logit model with partial proportional odds was used for the ordinal categorical outcomes and a logistic regression was used for the binary dependent variable. Results: Findings indicated that of 227,402 seriously ill individuals with an HHC episode in 2016, those from underrepresented racial and ethnic groups had between 14% and 57% higher odds of worse health outcomes compared with non-Hispanic white patients with the exception of pain frequency. Conclusions and Implications: For people living with serious illness, there are significant differences in Medicare HHC health outcomes when comparing underrepresented racial or ethnic beneficiaries with white counterparts. More research is needed to understand how health care processes such as referral patterns or time to care initiation, and structural factors such as HHC agency quality and neighborhood social deprivation are related to health differences observed in the population. (c) 2024 AMDA e The Society for Post-Acute and Long-Term Care Medicine.
英文关键词	Home health care health disparities health outcomes serious illness
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:001238382800001
WOS关键词	PRESSURE ULCERS ; RACIAL/ETHNIC DISPARITIES ; RACIAL DISPARITIES ; PALLIATIVE CARE ; ASSOCIATION ; LIFE ; END ; INTERVENTIONS ; ILLNESS
WOS类目	Geriatrics & Gerontology
WOS研究方向	Geriatrics & Gerontology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/404718
推荐引用方式 GB/T 7714	Jones, Tessa,Luth, Elizabeth A.,Cleland, Charles M.,et al. Race and Ethnicity Are Related to Undesirable Home Health Care Outcomes in Seriously Ill Older Adults[J],2024,25(6).
APA	Jones, Tessa,Luth, Elizabeth A.,Cleland, Charles M.,&Brody, Abraham A..(2024).Race and Ethnicity Are Related to Undesirable Home Health Care Outcomes in Seriously Ill Older Adults.JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION,25(6).
MLA	Jones, Tessa,et al."Race and Ethnicity Are Related to Undesirable Home Health Care Outcomes in Seriously Ill Older Adults".JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION 25.6(2024).