6752Brown University School of Public Health, Providence, RI, USA.
174610Brown University School of Public Health, Providence, RI USA.
J Aging Health. 2022 Mar;34(2):283-296. doi: 10.1177/08982643211043319. Epub 2021 Oct 11.
ObjectivesThis article assessed whether disparities among ADRD Medicare beneficiaries existed in five different long-stay quality measures. We linked individual-level data and facility-level characteristics. The main quality outcomes included whether residents: 1) were assessed/appropriately given the seasonal influenza vaccine; 2) received an antipsychotic medication; 3) experienced one/more falls with major injury; 4) were physically restrained; and 5) lost too much weight. In 2016, there were 1,005,781 Medicare Advantage and fee-for-service long-term residents. About 78% were White, 13% Black, 2% Asian/Pacific Islander (Asian/PI), 6% Hispanic, and 0.4% American Indian/Alaska Native (AI/AN). Whites reported higher use of antipsychotic medications along with Hispanics and AI/AN (28%, 28%, and 27%, respectively). Similarly, Whites and AIs/ANs reported having one/more falls compared to the other groups (9% and 8%, respectively). Efforts to understand disparities in access and quality of care among American Indians/Alaska Natives are needed, especially post-pandemic.
本文评估了在五项不同的长期护理质量指标中，ADRD 医疗保险受益人是否存在差异。我们将个人层面的数据和机构层面的特征进行了关联。主要的质量结果包括居民是否：1）接受/适当接种季节性流感疫苗；2）服用抗精神病药物；3）经历一次/多次有重大伤害的跌倒；4）受到身体约束；5）体重减轻过多。2016 年，有 1,005,781 名医疗保险优势计划和按服务收费的长期居民。约 78%为白人，13%为黑人，2%为亚太裔（亚裔/太平洋岛民），6%为西班牙裔，0.4%为美洲印第安人/阿拉斯加原住民（美洲原住民/阿拉斯加原住民）。白人报告抗精神病药物的使用率较高，与西班牙裔和美洲原住民/阿拉斯加原住民（分别为 28%、28%和 27%）相同。同样，与其他群体相比，白人（9%）和美洲原住民/阿拉斯加原住民（8%）报告了一次/多次跌倒。需要努力了解美国印第安人/阿拉斯加原住民在获得医疗保健和医疗保健质量方面的差异，尤其是在大流行之后。
