Abstract
Racial/ethnic composition of nursing home (NH) plays a particularly important role in NH quality. A key methodological issue is defining when an NH serves a low versus high proportion of racially/ethnically diverse residents. Using the Minimum Data Set from 2015 merged with Certification and Survey Provider Enhanced Reports, we calculated the racial/ethnic composition of U.S.-based NHs for Black or Hispanic residents specifically, and a general Black, Indigenous, and People of Color (BIPOC) grouping for long-stay residents. We examined different definitions of having a high racial/ethnic composition by varying percentile thresholds of composition, state-specific and national thresholds, and restricting composition to BIPOC residents as well as only Black and Hispanic residents. NHs with a high racial/ethnic composition have different facility characteristics than the average NH. Based on this, we make suggestions for how to identify NHs with diverse racial/ethnic resident compositions.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 175-186 |
| Number of pages | 12 |
| Journal | Medical Care Research and Review |
| Volume | 80 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 2023 |
Bibliographical note
Funding Information:The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the National Institute of Minority Health and Health Disparities (Grant Number R01MD010729, Tetyana P. Shippee, PhD).
Publisher Copyright:
© The Author(s) 2022.
Keywords
- equity
- geography
- nursing homes
- racial/ethnic disparity
