Decomposing racial and ethnic disparities in the use of postacute rehabilitation care.

ABSTRACT:

Objective

To determine the degree to which racial and ethnic disparities in the use of postacute rehabilitation care (PARC) are explained by observed characteristics.

Data sources

State inpatient databases (SIDs) for 2005 and 2006 from four diverse states were used to identify patients with stays for joint replacement, stroke, or hip fracture.

Study design

Our primary outcomes were use of institutional PARC (versus discharge home) and, conditional on discharge to an institution, skilled nursing facility (versus inpatient rehabilitation facility) care. We modified the Oaxaca-Blinder decomposition method to account for the dichotomous outcome and multilevel nature of the data.

Data collection/extraction methods

Discharges from the four SIDs were included if the p

SUBMITTER: Holmes GM 

PROVIDER: S-EPMC3307916 | biostudies-literature | 2012 Jun

REPOSITORIES: biostudies-literature