Elderly hispanics more likely to reside in poor-quality nursing homes

doi:10.1377/hlthaff.2009.0003

Comparative Study

. 2010 Jan-Feb;29(1):65-73.

doi: 10.1377/hlthaff.2009.0003.

Elderly hispanics more likely to reside in poor-quality nursing homes

Mary L Fennell¹, Zhanlian Feng, Melissa A Clark, Vincent Mor

Affiliations

PMID: 20048362
PMCID: PMC3825737
DOI: 10.1377/hlthaff.2009.0003

Comparative Study

Elderly hispanics more likely to reside in poor-quality nursing homes

Mary L Fennell et al. Health Aff (Millwood). 2010 Jan-Feb.

. 2010 Jan-Feb;29(1):65-73.

doi: 10.1377/hlthaff.2009.0003.

Authors

Mary L Fennell¹, Zhanlian Feng, Melissa A Clark, Vincent Mor

Affiliation

¹ Brown University in Providence, Rhode Island, USA. Mary_Fennell@brown.edu

PMID: 20048362
PMCID: PMC3825737
DOI: 10.1377/hlthaff.2009.0003

Abstract

The proportion of Hispanics age sixty-five and older who are living in nursing homes rose from 5 percent in 2000 to 6.4 percent in 2005. Although segregation in nursing homes seems to have declined slightly, elderly Hispanics are more likely than their non-Hispanic white peers to reside in nursing homes that are characterized by severe deficiencies in performance, understaffing, and poor care.

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Figures

**Exhibit 2. Distribution Of U.S. Nursing Homes, By Percentage Of Hispanic Residents, 2000 And 2005**
**Source** Nursing home resident assessment instrument Minimum Data Set, 2000 and 2005. **Note** N = 5,179.

**Exhibit 4. Hispanics' Likelihood Of Residing In Poor-Performing U.S. Nursing Homes**
**Sources** Nursing home resident assessment instrument Minimum Data Set (MDS), 2000 and 2005; Online Survey, Certification, and Reporting (OSCAR) database, 2000 and 2005. **Notes** N = 136. Metropolitan Statistical Areas (MSAs). S-S is scope-severity. RN is registered nurse. LL/UL is lower limit/upper limit. CI is confidence interval.

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References

1. Institute of Medicine. Guidance for the national healthcare disparities report. Washington (DC): National Academies Press; 2002. - PubMed
1. Agency for Healthcare Research and Quality. Rockville (MD): AHRQ; 2002. Oct, National healthcare disparities report: fact sheet AHRQ Pub 03-P007. [cited 2009 Dec 4] Available from http://www.ahrq.gov/news/nhdrfact.htm.
1. Mor V, Zinn J, Angelelli J, Teno JM, Miller SC. Driven to tiers: socioeconomic and racial disparities in the quality of nursing home care. Milbank Q. 2004;82(2):227–56. - PMC - PubMed
1. Smith DB, Feng Z, Fennell ML, Zinn JS, Mor V. Separate and unequal: racial segregation and disparities in quality across U.S. nursing homes. Health Aff (Millwood) 2007;26(5):1448–58. - PubMed
1. Smith DB, Feng Z, Fennell ML, Zinn J, Mor V. Racial disparities in access to long-term care: the illusive pursuit of equity. J Health Polit Polic. 2008;33(5):861–81. - PubMed

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[1] Institute of Medicine. Guidance for the national healthcare disparities report. Washington (DC): National Academies Press; 2002. - PubMed

[2] Institute of Medicine. Guidance for the national healthcare disparities report. Washington (DC): National Academies Press; 2002. - PubMed

[3] Agency for Healthcare Research and Quality. Rockville (MD): AHRQ; 2002. Oct, National healthcare disparities report: fact sheet AHRQ Pub 03-P007. [cited 2009 Dec 4] Available from http://www.ahrq.gov/news/nhdrfact.htm.

[4] Agency for Healthcare Research and Quality. Rockville (MD): AHRQ; 2002. Oct, National healthcare disparities report: fact sheet AHRQ Pub 03-P007. [cited 2009 Dec 4] Available from http://www.ahrq.gov/news/nhdrfact.htm.

[5] Mor V, Zinn J, Angelelli J, Teno JM, Miller SC. Driven to tiers: socioeconomic and racial disparities in the quality of nursing home care. Milbank Q. 2004;82(2):227–56. - PMC - PubMed

[6] Mor V, Zinn J, Angelelli J, Teno JM, Miller SC. Driven to tiers: socioeconomic and racial disparities in the quality of nursing home care. Milbank Q. 2004;82(2):227–56. - PMC - PubMed

[7] Smith DB, Feng Z, Fennell ML, Zinn JS, Mor V. Separate and unequal: racial segregation and disparities in quality across U.S. nursing homes. Health Aff (Millwood) 2007;26(5):1448–58. - PubMed

[8] Smith DB, Feng Z, Fennell ML, Zinn JS, Mor V. Separate and unequal: racial segregation and disparities in quality across U.S. nursing homes. Health Aff (Millwood) 2007;26(5):1448–58. - PubMed

[9] Smith DB, Feng Z, Fennell ML, Zinn J, Mor V. Racial disparities in access to long-term care: the illusive pursuit of equity. J Health Polit Polic. 2008;33(5):861–81. - PubMed

[10] Smith DB, Feng Z, Fennell ML, Zinn J, Mor V. Racial disparities in access to long-term care: the illusive pursuit of equity. J Health Polit Polic. 2008;33(5):861–81. - PubMed

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Elderly hispanics more likely to reside in poor-quality nursing homes

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Elderly hispanics more likely to reside in poor-quality nursing homes

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