Separate and unequal: Racial segregation and disparities in quality across U.S. nursing homes

Health Affairs

Volumn 26, Issue 5, 2007, Pages 1448-1458

  Smith, David Barton ^a   Feng, Zhanlian ^b   Fennel, Mary L ^b   Zinn, Jacqueline S ^c   Mor, Vincent ^d  

^a TEMPLE UNIVERSITY   (United States)

^b BROWN UNIVERSITY   (United States)

^c TEMPLE UNIVERSITY   (United States)

^d Brown ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AFRICAN AMERICAN; ARTICLE; CAUCASIAN; CERTIFICATION; CIVIL RIGHTS; EPIDEMIOLOGY; GOVERNMENT; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HUMAN; LEGAL ASPECT; NURSING HOME; SOCIAL JUSTICE; SOCIAL PSYCHOLOGY; SOCIOECONOMICS; STANDARD; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

AFRICAN AMERICANS; CENTERS FOR MEDICARE AND MEDICAID SERVICES (U.S.); CERTIFICATION; CIVIL RIGHTS; EUROPEAN CONTINENTAL ANCESTRY GROUP; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE DISPARITIES; HUMANS; NURSING HOMES; PREJUDICE; QUALITY OF HEALTH CARE; SOCIAL JUSTICE; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 35148861525     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.26.5.1448     Document Type: Article

References (29)

1. See P.W. Groeneveld, S.B. Laufer, and A.M. Garber, "Technology Diffusion, Hospital Variation, and Racial Disparities among Elderly Medicare Beneficiaries, 1989-2000," Medical Care 43, no. 4 (2005): 320-329;
2. E.B. Schelbert et al., "Treatment Variation in Older Black and White Patients Undergoing Aortic Valve Replacement," Circulation 112, no. 15 (2005): 2347-2353;
3. and J. Skinner et al., "Racial, Ethnic, and Geographical Disparities in Rates of Knee Arthroplasty among Medicare Patients,"New England Journal of Medicine 349, no. 14 (2003): 1350-1359.
4. See F.L. Lucas et al., "Race and Surgical Mortality in the United States," Annals of Surgery 243, no. 2 (2006): 281-286;
5. A.N. Trivedi, T.D. Sequist, and J.Z Ayanian, "Impact of Hospital Volume on Racial Disparities in Cardiovascular Procedure Mortality," Journal of the American College of Cardiology 47, no. 2 (2006): 417-424;
6. and L.S. Morales et al., "Mortality among Very Low-Birthweight Infants in Hospitals Serving Minority Populations," American Journal of Public Health 95, no. 12 (2005): 2206-2212.
7. See P.B. Bach et al., "Primary Care Physicians Who Treat Blacks and Whites," New England Journal of Medicine 351, no. 6 (2004): 575-584;
8. and A. Varkey et al., "Separate but Unequal: Where Minority and Non-Minority Patients Receive Primary Care" (Presentation at the Society for General Internal Medicine Twenty-ninth Annual Meeting, Los Angeles, California, 27 April 2006).
9. See N.A. Bickell et al., "Missed Opportunities: Racial Disparities in Adjuvant Breast Cancer Treatment," Journal of Clinical Oncology 24, no. 9 (2006): 1357-1362;
10. and N. Peters and K. Armstrong, "Racial Differences in Prostate Cancer Treatment Outcomes: A Systematic Review," Cancer Nursing 28, no. 2 (2005): 108-118.
11. V. Mor et al., "Driven to Tiers: Socioeconomic and Racial Disparities in the Quality of Nursing Home Care," Milbank Quarterly 82, no. 2 (2004): 227-256.
12. National Center for Health Statistics, Health, United States, 1996-97, and Injury Chartbook (Hyattsville, Md.: NCHS, 1997), 223.
13. NCHS, Health, United States, 2006 (Hyattsville, Md.: NCHS, 2006), 351.
14. D.B. Smith, Health Care Divided: Race and Healing a Nation (Ann Arbor: University of Michigan Press, 1999), 236-237.
15. Linton v. Commissioner of Health and Environment, Tennessee, 779 F. Supp., page 925 (M.D. Tenn. 1990).
16. U.S. Civil Rights Commission, "The Federal Civil Rights Enforcement Effort: One Year Later" (Washington: U.S. Government Printing Office, 1971).
17. Institute of Medicine, Health Care in the Context of Civil Rights (Washington: National Academies Press, 1981).
18. B.D. Smedley, A.Y. Stith, and A.R. Nelson, eds., Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (Washington: National Academies Press, 2002).
19. J. Iceland, D. H. Weinberg, and E. Steinmetz, Racial and Ethnic Residential Segregation in the United States: 1980-2000 (Washington: U.S. Bureau of the Census, 2002), 119-23.
20. J. Angelelli et al., "Oversight of Nursing Homes: Pruning the Tree or Just Spotting Bad Apples?" Gerontologist 43, spec. no. 2 (2003): 67-75.
21. A supplemental document containing a more detailed description of the data, differences between sample frame and analytic sample, measures, and computational formulas used in this study is available online at http://content.healthaffairs.org/cgi/content/full/26/5/1448/DC1.
22. D.R. Williams and C. Collins, "Racial Residential Segregation: A Fundamental Cause of Racial Disparities in Health," Public Health Reports 116, no. 5 (2002): 404-416.
23. W.C. Thomas, Nursing Homes and Public Policy: Drift and Decision in New York State (Ithaca, N.Y.: Cornell University Press, 1969).
24. Mor et al., "Driven to Tiers."
25. See M. Fix and M.A. Turner, eds., A National Report Card on Discrimination in America: The Role of Testing (Washington: Urban Institute, 1998);
26. and M.A. Turner, G.C. Galster, and J. Yinger, Discrimination in Metropolitan Housing Markets: National Results from Phase I of HDS2000 (Washington: Urban Institute, 2002).
27. See V. Mor et al., "The Quality of Quality Measurement in U.S. Nursing Homes," Gerontologist 43, spec. no. 2 (2003): 37-46;
28. R. Jacobs, M. Goddard, and P.C. Smith, "How Robust Are Hospital Ranks Based on Composite Performance Measures?" Medical Care 43, no. 12 (2005): 1177-1188;
29. and A.M. Zaslavsky et al., "Combining Health Plan Performance Indicators into Simpler Composite Measures," Health Care Financing Review 23, no. 4 (2002): 101-115.