BACKGROUND: With the increase in Black nursing home residents, racial and ethnic disparities in quality of care have been raised. PURPOSE: The purpose of this study was to evaluate racial disparities in care and outcomes over 12 months. METHODS: This was a secondary data analysis using data from the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia study. A total of 553 residents, 24% Black residents and 76% White residents, from 55 nursing homes were included. RESULTS: Differences favoring Black resident were noted in agitation, quality of life, inclusion of person-centered care approaches in care plans, and fewer falls and hospitalizations. Differences in quality-of-care interactions favored White residents. There were no differences in depression, resistiveness to care, function, pain, or transfers to the emergency department. CONCLUSIONS: Disparities in clinical outcomes were small and generally favored Black versus White residents except for quality-of-care interactions.
BACKGROUND: With the increase in Black nursing home residents, racial and ethnic disparities in quality of care have been raised. PURPOSE: The purpose of this study was to evaluate racial disparities in care and outcomes over 12 months. METHODS: This was a secondary data analysis using data from the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia study. A total of 553 residents, 24% Black residents and 76% White residents, from 55 nursing homes were included. RESULTS: Differences favoring Black resident were noted in agitation, quality of life, inclusion of person-centered care approaches in care plans, and fewer falls and hospitalizations. Differences in quality-of-care interactions favored White residents. There were no differences in depression, resistiveness to care, function, pain, or transfers to the emergency department. CONCLUSIONS: Disparities in clinical outcomes were small and generally favored Black versus White residents except for quality-of-care interactions.
Authors: Tonya J Roberts; Andrea Gilmore-Bykovskyi; Maichou Lor; Daniel Liebzeit; Christopher J Crnich; Debra Saliba Journal: J Am Med Dir Assoc Date: 2017-08-23 Impact factor: 4.669
Authors: Jennifer Meddings; Heidi Reichert; Shawna N Smith; Theodore J Iwashyna; Kenneth M Langa; Timothy P Hofer; Laurence F McMahon Journal: J Gen Intern Med Date: 2016-11-15 Impact factor: 5.128
Authors: Elizabeth Galik; Barbara Resnick; Erin Vigne; Sarah Dee Holmes; Victoria Nalls Journal: J Am Med Dir Assoc Date: 2016-10-21 Impact factor: 4.669
Authors: Tetyana T Shippee; Weiwen Ng; Yinfei Duan; Mark Woodhouse; Odichinma Akosionu; Haitao Chu; Jasjit S Ahluwalia; Joseph E Gaugler; Beth A Virnig; John R Bowblis Journal: J Aging Health Date: 2020-07-10