Racial/ethnic Disparities in Disability Outcomes Among Post-acute Home Care Patients

Overview

Journal J Aging Health

Publisher Sage Publications

Specialty Geriatrics

Date 2017 Jul 1

PMID 28662602

Citations 14

Authors

Jo-Ana D Chase

Liming Huang

David Russell

Alexandra Hanlon

Melissa OConnor

Keith M Robinson

Kathryn H Bowles

Affiliations

Soon will be listed here.

Abstract

Objective: To examine activities of daily living (ADL) disability outcomes among racially/ethnically diverse elders receiving home care (HC) after hospitalization.

Method: We conducted a retrospective cohort analysis of single-agency, 2013-2014 Outcome and Assessment Information Set data from older adults who received post-hospitalization HC ( n = 20,674). We measured overall change in ADL disability by summing the difference of standardized admission and discharge scores from nine individual ADL. Associations between race/ethnicity and overall ADL change scores were modeled using general linear regression, adjusting for covariates consistent with the Disablement Model.

Results: Overall, patients experienced improvement in ADL disability from HC admission to discharge. However, Asian, African American, and Hispanic patients experienced significantly less improvement compared with non-Hispanic Whites (all p < .001), even after controlling for covariates.

Discussion: Racial/ethnic disparities exist in ADL disability improvement among HC patients. Research is needed to clarify mechanisms underlying these disparities. Disablement Model factors may be targets for clinical intervention.

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