1. Out Of Reach: Inequities In The Use Of High-Quality Home Health Agencies.
- Author
-
Fashaw-Walters, Shekinah A., Rahman, Momotazur, Gee, Gilbert, Mor, Vincent, White, Michael, and Thomas, Kali S.
- Subjects
- *
MEDICAL quality control , *HEALTH services accessibility , *SCIENTIFIC observation , *HOME care services , *BLACK people , *HISPANIC Americans , *RACE , *REGRESSION analysis , *SOCIOECONOMIC factors , *INCOME , *COMPARATIVE studies , *DESCRIPTIVE statistics , *RESEARCH funding , *RESIDENTIAL patterns , *ETHNIC groups , *WHITE people , *DATA analysis software , *MEDICARE - Abstract
Patients receiving home health services from high-quality home health agencies often experience fewer adverse outcomes (for example, hospitalizations) than patients receiving services from low-quality agencies. Using administrative data from 2016 and regression analysis, we examined individual- and neighborhood-level racial, ethnic, and socioeconomic factors associated with the use of high-quality home health agencies. We found that Black and Hispanic home health patients had a 2.2-percentage-point and a 2.5-percentage-point lower adjusted probability of high-quality agency use, respectively, compared with their White counterparts within the same neighborhoods. Low-income patients had a 1.2-percentage-point lower adjusted probability of high-quality agency use compared with their higher-income counterparts, whereas home health patients residing in neighborhoods with higher proportions of marginalized residents had a lower adjusted probability of high-quality agency use. Some 40-77 percent of the disparities in high-quality agency use were attributable to neighborhood-level factors. Ameliorating these inequities will require policies that dismantle structural and institutional barriers related to residential segregation. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF