Geographic Disparities in Access to Nursing Home Services: Assessing Fiscal Stress and Quality of Care.

ABSTRACT:

Objective

We test whether nursing homes serving predominately low-income and racial minority residents (compositional explanation) or located in neighborhoods with higher concentrations of low-income and racial minority residents (contextual explanation) have worse financial outcomes and care quality.

Data sources

Healthcare Cost Report Information System, Nursing Home Compare, Online Survey Certification and Reporting Certification, and American Community Survey.

Study design

A cross-sectional study design of nursing homes within U.S. metropolitan areas.

Data collection/extraction methods

Data were obtained from Centers for Medicare & Medicaid Services and U.S. Census Bureau.

Principal findings

Medicaid-dependent nursing homes have a 3.5 percentage poin

SUBMITTER: Park YJ 

PROVIDER: S-EPMC6056600 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature