J Gerontol Nurs. 2024 Apr;50(4):42-47. doi: 10.3928/00989134-20240313-01. Epub 2024 Apr 1.
Adult day services (ADS) are a valuable resource for people living with Alzheimer's disease and Alzheimer's disease and related dementias (AD/ADRD) and serve a large population of late-life immigrants, often with limited English proficiency (LEP). This secondary data analysis examined potential disparities in diagnosis, dementia severity, medical complexity, and dementia-related behavioral problems in persons with AD/ADRD with LEP within the ADS setting.
The current study used data from TurboTAR, the electronic health record for ADS in California. Bivariate analyses were conducted to examine differences in clinical management for those with and without LEP.
Of 3,053 participants included in the study, 42.3% had LEP. Participants with LEP had higher rates of emergency department use and medication mismanagement. However, due to non-standard data collection, there was a significant amount of missing data on language preference (38.1%) and race/ethnicity (46.5%). Although these findings suggest LEP may play a role in the clinical management of persons with AD/ADRD in ADS, missing data caused by lack of standardized collection compromise the results.
It is essential to improve data collection practices in ADS on language, race, and ethnicity to help identify health disparities and promote equitable care for marginalized older adults. [(4), 42-47.].
成人日间服务（ADS）是为患有阿尔茨海默病和阿尔茨海默病相关痴呆症（AD/ADRD）的人提供的宝贵资源，为大量晚期移民服务，这些移民通常英语水平有限（LEP）。本二次数据分析检查了在 ADS 环境中，具有 LEP 的 AD/ADRD 患者在诊断、痴呆严重程度、医疗复杂性和与痴呆相关的行为问题方面是否存在差异。
本研究使用了来自加利福尼亚州 ADS 的电子健康记录 TurboTAR 的数据。进行了双变量分析，以检查具有和不具有 LEP 的患者在临床管理方面的差异。
在纳入研究的 3053 名参与者中，42.3%的人具有 LEP。具有 LEP 的参与者急诊室使用率和药物管理不当的比率更高。然而，由于数据收集不规范，语言偏好（38.1%）和种族/族裔（46.5%）的数据缺失严重。尽管这些发现表明 LEP 可能在 ADS 中 AD/ADRD 患者的临床管理中发挥作用，但由于缺乏标准化收集导致的数据缺失影响了结果。
改善 ADS 中关于语言、种族和族裔的数据收集实践至关重要，以帮助识别健康差距并为边缘化的老年人提供公平的护理。[(4)，42-47.]。
