Lee Ji Won, DeForge Christine, Morse-Karzen Bridget, Stone Patricia W, Glance Laurent G, Dick Andrew W, Chastain Ashley, Quigley Denise D, Shang Jingjing
Center for Health Policy, Columbia University School of Nursing, 560 West 168 Street, New York, NY 10032, USA.
Center for Health Policy, Columbia University School of Nursing, 560 West 168 Street, New York, NY 10032, USA.
Geriatr Nurs. 2025 Mar-Apr;62(Pt A):35-47. doi: 10.1016/j.gerinurse.2025.01.010. Epub 2025 Jan 24.
Evidence examining disparities in post-acute care (PAC) utilization among various racial and ethnic groups after stroke and the influence of social determinants of health (SDOH) in these decisions is lacking. Thus, we searched the literature from January 2000 to November 2023 regarding PAC among individuals after stroke through: 1) Pubmed, 2) Scopus, 3) Web of Science, 4) Embase, and 5) CINAHL. We found 14 studies. Black individuals were more likely than White individuals to be discharged home with home health (HH) and skilled nursing facilities (SNF). Hispanic individuals were more likely than White individuals to be discharged home with HH, but less likely to be discharged to institutions. Lower socioeconomic status, Medicaid insurance, urban residence, area PAC supply and hospital characteristics were associated with increased institutional discharges among racial and ethnic minority individuals. Future policy should improve access to appropriate PAC commensurate with an individual's medical/social complexity.
缺乏关于中风后不同种族和族裔群体在急性后护理（PAC）使用方面的差异以及健康的社会决定因素（SDOH）在这些决策中的影响的证据。因此，我们检索了2000年1月至2023年11月期间关于中风后个体PAC的文献，检索途径包括：1）PubMed，2）Scopus，3）科学网，4）Embase，以及5）护理学与健康领域数据库。我们找到了14项研究。黑人个体比白人个体更有可能在家接受家庭健康护理（HH）和熟练护理设施（SNF）的出院安排。西班牙裔个体比白人个体更有可能在家接受HH出院安排，但被送往机构的可能性较小。较低的社会经济地位、医疗补助保险、城市居住、地区PAC供应和医院特征与种族和族裔少数群体中机构出院人数增加有关。未来的政策应改善与个人医疗/社会复杂性相匹配的适当PAC的可及性。
