Does Living in a Higher Proportion Minority Facility Improve Quality of Life for Racial/Ethnic Minority Residents in Nursing Homes?

Innovation in Aging
Tetyana P ShippeeJohn R Bowblis

Abstract

The proportion of racial/ethnic minority older adults in nursing homes (NHs) has increased dramatically and will surpass the proportion of white adults by 2030.Yet, little is known about minority groups' experiences related to the quality of life (QOL). QOL is a person-centered measure, capturing multiple aspects of well-being. NH quality has been commonly measured using clinical care indicators, but there is growing recognition for the need to include QOL. This study examines the role of individual race/ethnicity, facility racial/ethnic composition, and the interaction of both for NH resident QOL. We used a unique state-level data set that includes self-reported QOL surveys with a random sample of long-stay Minnesota NH residents, using a multidimensional measure of QOL. These surveys were linked to resident clinical data from the Minimum Dataset 3.0 and facility-level characteristics. Minnesota is one of the two states in the nation that collects validated QOL measures, linked to data on resident and detailed facility characteristics. We used mixed-effects models, with random intercepts to model summary QOL score and individual domains. We identified significant racial disparities in NH resident QOL. Minority residents report...Continue Reading

References

Jan 1, 1996·International Journal of Health Services : Planning, Administration, Evaluation·D R Williams
Sep 15, 1998·Journal of the American Geriatrics Society·V F EngleM J Graney
Aug 19, 2000·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·M L FennellV Mor
Jul 1, 2004·The Milbank Quarterly·Vincent MorSusan C Miller
Jul 24, 2004·Journal of the American Geriatrics Society·Mona BaumgartenJay Magaziner
Apr 1, 2005·The Gerontologist·Greg ArlingChristine Mueller
Jun 9, 2005·Psychiatric Services : a Journal of the American Psychiatric Association·Teresa J HudsonGreer Sullivan
Oct 6, 2005·The Milbank Quarterly·Vincent Mor
Nov 9, 2007·The Gerontologist·Greg ArlingHoward B Degenholtz
Nov 14, 2007·Journal of the American Medical Directors Association·Carrie A LevinStephen Crystal
Sep 27, 2008·Journal of Health Politics, Policy and Law·David Barton SmithVincent Mor
Nov 26, 2008·Journal of Gerontological Nursing·Shirley Wu, Judith C Barker
Feb 21, 2009·Medical Care Research and Review : MCRR·R Tamara Konetzka, Rachel M Werner
Apr 2, 2011·Health Economics·John R Bowblis
Mar 17, 2012·Journal of Aging and Health·Manisha SenguptaAdrienne Jones
Dec 20, 2013·The Gerontologist·Tetyana P ShippeeTeresa Lewis
Jan 18, 2014·Health & Social Work·Kimberly M Cassie, William Cassie
Dec 3, 2014·Journal of Health Economics·Momotazur Rahman, Andrew D Foster
Mar 13, 2015·Medical Care·Kali S ThomasVincent Mor
Nov 6, 2018·Health Affairs·Daniel BraunerR Tamara Konetzka
Apr 9, 2019·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Hari SharmaR Tamara Konetzka

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Citations

Mar 30, 2021·Journal of the American Medical Directors Association·Philip D SloaneSheryl Zimmerman
Jan 13, 2022·Journal of Aging & Social Policy·Weiwen NgTetyana P Shippee

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Methods Mentioned

BETA
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