TY - JOUR
T1 - Hospital Disparities between Native Hawaiian and Other Pacific Islanders and Non-Hispanic Whites with Alzheimer’s Disease and Related Dementias
AU - Hermosura, Andrea H.
AU - Noonan, Carolyn J.
AU - Fyfe-Johnson, Amber L.
AU - Seto, Todd B.
AU - Kaholokula, Joseph K.
AU - MacLehose, Richard F.
N1 - Publisher Copyright:
© The Author(s) 2020.
PY - 2020/8/8
Y1 - 2020/8/8
N2 - Objective: To compare important indicators of quality of care between Native Hawaiians and other Pacific Islanders (NHOPIs) and non-Hispanic Whites (NHWs) with Alzheimer’s disease and related dementias (ADRD). Methods: We used the Health Care Cost and Utilization Project, Hawaii State Inpatient Databases, 2010–2014. They included 10,645 inpatient encounters from 7,145 NHOPI or NHW patients age ≥ 50 years, residing in Hawaii, and with at least one ADRD diagnosis in the discharge record. Outcome variables were inpatient mortality, length of hospital stay, and hospital readmission. Results: NHOPIs with ADRD had, on average, a hospital stay of.94 days less than NHWs with ADRD but were 1.16 times more likely than NHWs to be readmitted. Discussion: These patterns have important clinical care implications for NHOPIs and NHWs with ADRD as they are important indicators of quality of care. Future studies should consider specific contributors to these differences in order to develop appropriate interventions.
AB - Objective: To compare important indicators of quality of care between Native Hawaiians and other Pacific Islanders (NHOPIs) and non-Hispanic Whites (NHWs) with Alzheimer’s disease and related dementias (ADRD). Methods: We used the Health Care Cost and Utilization Project, Hawaii State Inpatient Databases, 2010–2014. They included 10,645 inpatient encounters from 7,145 NHOPI or NHW patients age ≥ 50 years, residing in Hawaii, and with at least one ADRD diagnosis in the discharge record. Outcome variables were inpatient mortality, length of hospital stay, and hospital readmission. Results: NHOPIs with ADRD had, on average, a hospital stay of.94 days less than NHWs with ADRD but were 1.16 times more likely than NHWs to be readmitted. Discussion: These patterns have important clinical care implications for NHOPIs and NHWs with ADRD as they are important indicators of quality of care. Future studies should consider specific contributors to these differences in order to develop appropriate interventions.
KW - Alzheimer’s disease and related dementia
KW - Native Hawaiian
KW - Pacific Islander
KW - disparities
KW - hospitalization
UR - http://www.scopus.com/inward/record.url?scp=85089147699&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85089147699&partnerID=8YFLogxK
U2 - 10.1177/0898264320945177
DO - 10.1177/0898264320945177
M3 - Article
C2 - 32772629
AN - SCOPUS:85089147699
SN - 0898-2643
VL - 32
SP - 1579
EP - 1590
JO - Journal of aging and health
JF - Journal of aging and health
IS - 10
ER -