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Hispanics appear to face lower quality home care

 

Tuesday, Apr 14,2009, 10:58:53 AM   Click:

Copyright 2009 Targeted News Service LLCAll Rights Reserved Targeted News Service

10 April 2009 Friday 12:43 PM EST

LENGTH: 451 words


TITLE: Hispanics seem Face Poorer quality of care at home

Signature: Targeted News Service

DATELINE: PROVIDENCE, R.I.



Brown University issued the following communiqué:

Nursing homes used primarily Hispanic residents of poorer quality care relative to facilities whose patients were mostly white, according to research from Brown University. Details have been published recently (http://www.jamda.com/article/S1525-8610 (08) 00316-2/abstract) in the Journal of the American Medical Directors Association.

The researchers reached their conclusions after examining the rate of bed sores with nursing homes to high concentrations of Hispanic patients, compared to others with low concentrations. Hispanics with nursing homes to a high rate of Hispanic residents were more likely to have bed sores, compared to Hispanics living in nursing homes with fewer people of Hispanic origin.

Michael Gerardo, Assistant Professor of Community Health at the Warren Alpert Medical School of Brown University, led the research. Other two served as co-authors - Joan Teno, MD, professor of community health and medicine and an expert in end of life, and Vincent Mor, director of the Department of Community Health, whose work focuses on care home among other areas.

Gerardo and other teachers said that more research is needed to determine the implications of their findings, which are specifically aimed at the cause of disparity between quality and low nursing home quality.

"A system for evaluating the difference in the process of care between high and low quality nursing homes is justified in order to reduce the nursing home," said Gerardo.


Their work is less than two years after a landmark 2007 study, published in Health Affairs, suggests that blacks are more likely than whites to live in poor quality nursing care. This study revealed that the problem is worse in the Midwest, and that inequalities in health care are closely correlated with racial segregation. Mor was the lead author of the study.

For the study of Hispanics in nursing homes, the researchers looked at two sources of data. One, the filing of the national minimum data set, is a federal health status, functions and demographic data on all residents of nursing homes. The other, which is known as the Oscar database system, collects information on patients and nursing homes, through the Centers for Medicare and Medicaid Services.

Residents were included if they were age 65 or older, living at free-standing nursing homes in California, New Mexico, Texas, Arizona or Colorado.

Funding for the National Institutes of Health, National Institute on Aging, National Research Service Award institutional training grants and the Commonwealth Fund supported this study.

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