Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Aug;31(7):1259-1277.
doi: 10.1177/0898264318767778. Epub 2018 May 2.

Disparities in Nursing Home Use and Quality Among African American, Hispanic, and White Medicare Residents With Alzheimer's Disease and Related Dementias

Maricruz Rivera-Hernandez  1 , Amit Kumar  1 , Gary Epstein-Lubow  1   2 , Kali S Thomas  1   3
Affiliations

Disparities in Nursing Home Use and Quality Among African American, Hispanic, and White Medicare Residents With Alzheimer's Disease and Related Dementias

Maricruz Rivera-Hernandez et al. J Aging Health. 2019 Aug.

Abstract

Objective: This article examines differences in nursing home use and quality among Medicare beneficiaries, in both Medicare Advantage and fee-for-service, newly admitted to nursing homes with Alzheimer's disease and related dementias (ADRD). Method: Retrospective, national, population-based study of Medicare residents newly admitted to nursing homes with ADRD by race and ethnic group. Our analytic sample included 1,302,099 nursing home residents-268,181 with a diagnosis of ADRD-in 13,532 nursing homes from 2014. Results: We found that a larger share of Hispanic Medicare residents that are admitted to nursing homes have ADRD compared with African American and White beneficiaries. Both Hispanics and African Americans with ADRD received care in segregated nursing homes with fewer resources and lower quality of care compared with White residents. Discussion: These results have implications for targeted efforts to achieve health care equity and quality improvement efforts among nursing homes that serve minority patients.

Keywords: Alzheimer’s disease and dementia; Hispanics with dementia; disparities among dementia residents; nursing home disparities.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting Interests

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Alzheimer’s Association. Hispanics/Latinos and Alzheimer’s disease. 2004 Retrieved from http://www.alz.org/national/documents/report_hispanic.pdf.
    1. Alzheimer’s Association. 2016 Alzheimer’s disease facts and figures. Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association. 2016;12:459–509. - PubMed
    1. American Health Care Association. Length of stay calculation. 2017a Retrieved from https://www.ahcancal.org/research_data/trendtracker/Documents/Length%20o....
    1. American Health Care Association. 30-day risk-adjusted SNF rehospitalization measure. 2017b Retrieved from https://www.ahcancal.org/research_data/trendtracker/Documents/Rehospital....
    1. Andel R, Hyer K, Slack A. Risk factors for nursing home placement in older adults with and without dementia. Journal of Aging and Health. 2007;19:213–228. doi: 10.1177/0898264307299359. - DOI - PubMed

Publication types

LinkOut - more resources