Racial disparity in end-of-life hospitalizations among nursing home residents with dementia.

ABSTRACT:

Objective

Explore within and across nursing home (NH) racial disparities in end-of-life (EOL) hospitalizations for residents with Alzheimer's disease or related dementia (ADRD), and examine whether severe cognitive impairment influences these relationships.

Design

Observational study merging, at the individual level, C2014-2017 national-level Minimum Data Set (MDS), Medicare Beneficiary Summary Files (MBSF), and Medicare Provider Analysis and Review (MedPAR). Nursing Home Compare (NHC) was also used.

Setting

Long-stay residents who died in a NH or a hospital within 8 days of discharge.

Participants

Analytical sample included 665,033 decedent residents with ADRD in 14,595 facilities.

Main outcomes and measures

The outcome was hospitalization within 30 day

SUBMITTER: Temkin-Greener H 

PROVIDER: S-EPMC8273114 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature