title: Disparities in long-term healthcare.
abstract: Health disparities exist in long-term care as well as in the community. Disparities in healthcare typically result from the interplay of insurance; healthcare access; health literacy and cultural disparities; and geographic distribution. Residence in the nursing home complicates the situation since it introduces facility differences, regulations, and payer issues. This article offers two vignettes of residents that illustrate management of chronic issues, and addressing end of life concerns.
authors.affiliation: Section of Geriatric Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Mail Code A91, 9500 Euclid Avenue, Cleveland, OH 44195, USA. rapporb@ccf.org
authors.forename: Barbara
authors.initials: B
authors.lastname: Messinger-Rapport
mesh_terms: D001741:Black or African American / Q000208:ethnology / Q000706:statistics & numerical data; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000208:ethnology / Q000451:nursing; D018864:Cultural Diversity; D019468:Disease Management; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000458:organization & administration*; D040361:Healthy People Programs / Q000458:organization & administration*; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration* / Q000523:psychology; D008484:Medicaid / Q000458:organization & administration; D020380:Needs Assessment; D009735:Nursing Homes / Q000458:organization & administration*; D009937:Organizational Objectives; D013727:Terminal Care / Q000458:organization & administration* / Q000523:psychology; D014481:United States