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Racial and ethnic differences
Table 2.9a. Racial and Ethnic Differences in Effectiveness of Care: Nursing Home and Home Health Care
| Measure |
Racial Differencei |
Ethnic
Differenceii |
| Black |
Asian |
NHOPI |
AI/AN |
>1 Race |
Hispanic |
| Chronic Care in Nursing Facilitiesiii |
| Long- stay nursing home residents who have
moderate to severe pain |
↑iii |
↑iii |
↓ |
|
↑ |
| Long- stay nursing home residents who were
physically restrained |
↑iii |
↓iii |
↓ |
|
↓ |
| Long- stay nursing home residents who spend most
of their time in bed or in a chair |
↓iii |
↓iii |
= |
|
↓ |
| Long- stay nursing home residents who had a
u r i n a rytract infection |
↑iii |
↑iii |
= |
|
↑ |
| Long- stay nursing home residents who are more
depressed or anxious |
↑iii |
↑iii |
↑ |
|
↑ |
| Low risk long-stay nursing home residents who
lose control of their bowels or bladder |
=iii |
=iii |
↑ |
|
↑ |
| Low risk long-stay nursing home residents who
had a catheter inserted and left in their bladder |
=iii |
↑iii |
↓ |
|
= |
| Post-Acute Care in Nursing Facilitiesiii |
| Short- stay nursing home residents with delirium |
↑iii |
↑iii |
= |
|
↑ |
| Short- stay nursing home residents who have moderate
to severe pain |
↑iii |
↑iii |
= |
|
↑ |
| Short- stay nursing home residents who have
pressure sores |
↓iii |
=iii |
= |
|
↓ |
iCompared with whites.
iiCompared with non-Hispanic whites.
iiiSource: CMS Minimum Data Set. This source categorizes race/ethnicity very differently from other sources. Race/ethnicity information is categorized as a single item: non-Hispanic white, non-Hispanic black, Hispanic, Asian or Pacific Islander. Contrasts compare each group with non-Hispanic whites.
Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native
Key to Symbols Used in Health Care Utilization Tables:
=: Group and comparison group receive about same quality of health care or have similar outcomes.
↑Group receives better quality of health care than the comparison group or has better outcomes.
↓Group receives poorer quality of health care than the comparison group or has worse outcomes.
Blank cell: Reliable estimate for group could not be made..
Table 2.9a. Racial and Ethnic Differences in Effectiveness of Care: Nursing Home and Home Health Care
(continued)
| Measure |
Racial Differencei |
Ethnic
Differenceii |
| Black |
Asian |
NHOPI |
AI/AN |
>1 Race |
Hispanic |
| Home Health Careiii |
| Home health care patients who
get better at getting dressed |
↓ |
↓ |
= |
↓ |
= |
↓ |
| Home health care patients who get better at taking
their medicines correctly |
= |
= |
= |
= |
= |
= |
| Home health care patients who get better at bathing |
↓ |
= |
= |
= |
= |
= |
| Home health care patients who don't get worse
at bathing |
= |
↑ |
↑ |
= |
= |
↑ |
| Home health care patients who get better at
getting in and out of bed |
= |
= |
= |
= |
= |
= |
| Home health care patients who get better at
walking or moving around |
= |
↑ |
↑ |
= |
= |
= |
| Home health care patients who get better at going
to and from the toilet |
↓ |
= |
= |
= |
↑ |
↓ |
| Home health care patients who have less pain
when moving around |
= |
↑ |
= |
= |
= |
↑ |
| Home health care patients who have less shortness
of breath |
= |
= |
= |
= |
= |
= |
| Home health care patients who have less urinary
incontinence |
= |
= |
= |
= |
= |
↓ |
| Home health care patients who are confused
less often |
= |
= |
= |
= |
= |
= |
| Home health care patients who had to be admitted
to the hospital |
↓ |
↑ |
= |
↓ |
↓ |
= |
iCompared with whites.
iiCompared with non-Hispanic whites.
iiiSource: CMS Outcome and Assessment Information Set, 2002.
Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native
Key to Symbols Used in Quality of Health Care Tables::
=: Group and comparison group receive about same quality of health care or have similar outcomes.
↑Group receives better quality of health care than the comparison group or has better outcomes.
↓Group receives poorer quality of health care than the comparison group or has worse outcomes.
Blank cell: Reliable estimate for group could not be made.