Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer’s Disease and Related Dementias
Year: 2021
Type: article
Study design: Observational Study
Abstract: Objectives This article assessed whether disparities among ADRD Medicare beneficiaries existed in five different long-stay quality measures. Methods: We linked individual-level data and facility-level characteristics. The main quality outcomes included whether residents: 1) were assessed/appropriately given the seasonal influenza vaccine; 2) received an antipsychotic medication; 3) experienced one/more falls with major injury; 4) were physically restrained; and 5) lost too much weight. Results: In 2016, there were 1,005,781 Medicare Advantage and fee-for-service long-term residents. About 78% were White, 13% Black, 2% Asian/Pacific Islander (Asian/PI), 6% Hispanic, and 0.4% American Indian/Alaska Native (AI/AN). Whites reported higher use of antipsychotic medications along with Hispanics and AI/AN (28%, 28%, and 27%, respectively). Similarly, Whites and AIs/ANs reported having one/more falls compared to the other groups (9% and 8%, respectively). Discussion: Efforts to understand disparities in access and quality of care among American Indians/Alaska Natives are needed, especially post-pandemic.
Source: Journal of Aging and Health
Institutions: Brown University, Northern Arizona University
Language: English
Subfield: Geriatrics and Gerontology
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: Hospital-Based Rehabilitation Services in Older Adults After Hip Fracture and Impact on Health Outcomes, Nursing Home Care Disparities for Hispanic Medicare Advantage and Fee-For-Service Beneficiaries with Alzheimers and Related Dimentias, Medicare Advantage Plan Choice and Selection Among Racial and Ethnic Minorities and Low-Income Seniors, Southwest Health Engagement and Research Collaborative (SHERC)
OpenAlex ID: W3205126656