Environmental and structural factors driving poor quality of care: An examination of nursing homes serving Black residents.

ABSTRACT:

Background

Poor quality of care in nursing homes (NHs) with high proportions of Black residents has been a problem in the US and even more pronounced during the COVID-19 pandemic. Federal and state agencies are devoting attention to identifying the best means of improving care in the neediest facilities. It is important to understand environmental and structural characteristics that may have led to poor healthcare outcomes in NHs serving high proportions of Black residents pre-pandemic.

Methods

We conducted a cross-sectional observational study using multiple 2019 national datasets. Our exposure was the proportion of Black residents in a NH (i.e., none, <5%, 5%-19.9%, 20-49.9%, ≥50%). Healthcare outcomes examined were hospitalizations and emergency department (ED) visits, bo

SUBMITTER: Travers JL 

PROVIDER: S-EPMC10592533 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature