Decomposing racial and ethnic disparities in the use of postacute rehabilitation care

George M. Holmes, Janet K. Freburger, Li Jung E. Ku

研究成果: Article同行評審

20 引文 斯高帕斯(Scopus)

摘要

Objective To determine the degree to which racial and ethnic disparities in the use of postacute rehabilitation care (PARC) are explained by observed characteristics. Data Sources State inpatient databases (SIDs) for 2005 and 2006 from four diverse states were used to identify patients with stays for joint replacement, stroke, or hip fracture. Study Design Our primary outcomes were use of institutional PARC (versus discharge home) and, conditional on discharge to an institution, skilled nursing facility (versus inpatient rehabilitation facility) care. We modified the Oaxaca-Blinder decomposition method to account for the dichotomous outcome and multilevel nature of the data. Data Collection/Extraction Methods Discharges from the four SIDs were included if the principal diagnosis (stroke, hip fracture) or procedure (joint replacement) was in the sample inclusion criteria. Principal Findings Observed characteristics explained roughly half of the unadjusted differences in use of institutional PARC. Patient-level factors (clinical, age) were more explanatory of disparities in institutional PARC use, while hospital-level factors were more explanatory of skilled nursing facility versus inpatient rehabilitation facility care. Conclusions Adjustment for characteristics influencing PARC use both mitigated and exacerbated racial/ethnic disparities in use. The degree to which the characteristics explained the disparity varied across conditions and outcomes.

原文English
頁(從 - 到)1158-1178
頁數21
期刊Health Services Research
47
發行號3 PART 1
DOIs
出版狀態Published - 2012 六月

All Science Journal Classification (ASJC) codes

  • Health Policy

指紋 深入研究「Decomposing racial and ethnic disparities in the use of postacute rehabilitation care」主題。共同形成了獨特的指紋。

引用此