Smith David Barton, Feng Zhanlian, Fennell Mary L, Zinn Jacqueline S, Mor Vincent
Temple University, Philadelphia, Pennsylvania, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):1448-58. doi: 10.1377/hlthaff.26.5.1448.
We describe the racial segregation in U.S. nursing homes and its relationship to racial disparities in the quality of care. Nursing homes remain relatively segregated, roughly mirroring the residential segregation within metropolitan areas. As a result, blacks are much more likely than whites to be located in nursing homes that have serious deficiencies, lower staffing ratios, and greater financial vulnerability. Changing health care providers' behavior will not be sufficient to eliminate disparities in medical treatment in nursing homes. Persistent segregation among homes poses a substantial barrier to progress.
我们描述了美国养老院中的种族隔离现象及其与护理质量方面种族差异的关系。养老院仍然存在相对隔离的情况，大致反映了大都市地区内的居住隔离。因此，与白人相比，黑人更有可能住在存在严重缺陷、人员配备比例较低且财务状况更脆弱的养老院。改变医疗服务提供者的行为不足以消除养老院中医疗待遇的差异。养老院之间持续存在的隔离对取得进展构成了重大障碍。
