Disparities in Nursing Home Use and Quality Among African American, Hispanic, and White Medicare Residents With Alzheimer’s Disease and Related Dementias

Maricruz Rivera-Hernandez, Amit Kumar, Gary Epstein-Lubow, Kali S. Thomas

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Objective: This article examines differences in nursing home use and quality among Medicare beneficiaries, in both Medicare Advantage and fee-for-service, newly admitted to nursing homes with Alzheimer’s disease and related dementias (ADRD). Method: Retrospective, national, population-based study of Medicare residents newly admitted to nursing homes with ADRD by race and ethnic group. Our analytic sample included 1,302,099 nursing home residents—268,181 with a diagnosis of ADRD—in 13,532 nursing homes from 2014. Results: We found that a larger share of Hispanic Medicare residents that are admitted to nursing homes have ADRD compared with African American and White beneficiaries. Both Hispanics and African Americans with ADRD received care in segregated nursing homes with fewer resources and lower quality of care compared with White residents. Discussion: These results have implications for targeted efforts to achieve health care equity and quality improvement efforts among nursing homes that serve minority patients.

Original languageEnglish (US)
Pages (from-to)1259-1277
Number of pages19
JournalJournal of Aging and Health
Volume31
Issue number7
DOIs
StatePublished - Aug 1 2019
Externally publishedYes

Keywords

  • Alzheimer’s disease and dementia
  • Hispanics with dementia
  • disparities among dementia residents
  • nursing home disparities

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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