| Autor: |
Shekinah A, Fashaw-Walters, Momotazur, Rahman, Gilbert, Gee, Vincent, Mor, Michael, White, Kali S, Thomas |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Health affairs (Project Hope). 41(2) |
| ISSN: |
1544-5208 |
| Popis: |
Patients receiving home health services from high-quality home health agencies often experience fewer adverse outcomes (for example, hospitalizations) than patients receiving services from low-quality agencies. Using administrative data from 2016 and regression analysis, we examined individual- and neighborhood-level racial, ethnic, and socioeconomic factors associated with the use of high-quality home health agencies. We found that Black and Hispanic home health patients had a 2.2-percentage-point and a 2.5-percentage-point lower adjusted probability of high-quality agency use, respectively, compared with their White counterparts within the same neighborhoods. Low-income patients had a 1.2-percentage-point lower adjusted probability of high-quality agency use compared with their higher-income counterparts, whereas home health patients residing in neighborhoods with higher proportions of marginalized residents had a lower adjusted probability of high-quality agency use. Some 40-77 percent of the disparities in high-quality agency use were attributable to neighborhood-level factors. Ameliorating these inequities will require policies that dismantle structural and institutional barriers related to residential segregation. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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