Facility effects on racial differences in nursing home quality of care.
This paper reviews the literature on racial/ethnic differences in nursing home quality, segregated access to nursing home care, and organizational and community factors that may influence access and quality of care. We present illustrative data on county demographics and the racial mix of African American residents in nursing homes in these counties for a sample of four states. We also briefly describe plans for multilevel modeling to test variation in racial/ethnic disparities in care as a function of nursing home structures and processes and community context.
Fennell
M L
ML
Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA. Mary_Fennell@brown.edu
Miller
S C
SC
Mor
V
V
D001741:Black or African American / Q000706:statistics & numerical data*; D018864:Cultural Diversity; D003710:Demography; D005006:Ethnicity / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D007615:Kansas; D008922:Mississippi; D009518:New York; D009735:Nursing Homes / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D009820:Ohio; D011204:Poverty Areas; D011287:Prejudice; D011785:Quality Assurance, Health Care / Q000379:methods / Q000706:statistics & numerical data*; D011822:Race Relations; D012959:Socioeconomic Factors