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Comparative Study
. 2009 Apr;90(4):560-3.
doi: 10.1016/j.apmr.2008.10.021.

Disparities in utilization of outpatient rehabilitative care following hip fracture hospitalization with respect to race and ethnicity

Tracy U Nguyen-Oghalai  1 , Kenneth J Ottenbacher, Yong-Fang Kuo, Helen Wu, Michael Grecula, Karl Eschbach, James S Goodwin
Affiliations
Comparative Study

Disparities in utilization of outpatient rehabilitative care following hip fracture hospitalization with respect to race and ethnicity

Tracy U Nguyen-Oghalai et al. Arch Phys Med Rehabil. 2009 Apr.

Abstract

Objective: To compare the prevalence of discharge home to self-care after hip fracture hospitalization among the elderly in 3 racial groups: whites, Hispanics, and blacks.

Design: Secondary data analysis.

Setting: US hospitals.

Participants: Patients (N=34,203) aged 65 and older with Medicare insurance discharged after hip fracture hospitalization between 2001 and 2005.

Interventions: Not applicable.

Main outcome measure: Discharge home to self-care.

Results: Bivariate analyses showed higher rates of discharge home to self-care among minorities, 16.4% for Hispanics, 8.7% for blacks, and 5.9% for whites. Hispanics had 3-fold higher odds of being discharged home to self-care, and blacks had about 50% higher odds of being discharged home to self-care after adjusting for age, sex, Klabunde's comorbidity index, income, year of admission, type of hip fracture, surgical stabilization procedure, and length of hospital stay.

Conclusions: The higher rate of discharge home to self-care among minorities underscores the risk of suboptimal outpatient rehabilitative care among minorities with hip fracture.

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