Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer’s Disease and Related Dementias

Maricruz Rivera-Hernandez, Amit Kumar, Indrakshi Roy, Shekinah Fashaw-Walters, Julie A. Baldwin

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)283-296
Number of pages14
JournalJournal of Aging and Health
Volume34
Issue number2
DOIs
StatePublished - Mar 2022

Keywords

  • long-term residents with dementia
  • quality among American Indians and Alaska Natives
  • quality of care among people with dementia

ASJC Scopus subject areas

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

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