Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Arch Phys Med Rehabil. 2009 Apr;90(4):560-3. doi: 10.1016/j.apmr.2008.10.021.

Disparities in utilization of outpatient rehabilitative care following hip fracture hospitalization with respect to race and ethnicity.

Author information

  • 1Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.

Abstract

OBJECTIVE:

To compare the prevalence of discharge home to self-care after hip fracture hospitalization among the elderly in 3 racial groups: whites, Hispanics, and blacks.

DESIGN:

Secondary data analysis.

SETTING:

US hospitals.

PARTICIPANTS:

Patients (N=34,203) aged 65 and older with Medicare insurance discharged after hip fracture hospitalization between 2001 and 2005.

INTERVENTIONS:

Not applicable.

MAIN OUTCOME MEASURE:

Discharge home to self-care.

RESULTS:

Bivariate analyses showed higher rates of discharge home to self-care among minorities, 16.4% for Hispanics, 8.7% for blacks, and 5.9% for whites. Hispanics had 3-fold higher odds of being discharged home to self-care, and blacks had about 50% higher odds of being discharged home to self-care after adjusting for age, sex, Klabunde's comorbidity index, income, year of admission, type of hip fracture, surgical stabilization procedure, and length of hospital stay.

CONCLUSIONS:

The higher rate of discharge home to self-care among minorities underscores the risk of suboptimal outpatient rehabilitative care among minorities with hip fracture.

PMID:
19345769
[PubMed - indexed for MEDLINE]
PMCID:
PMC2778195
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Elsevier Science Icon for PubMed Central
    Loading ...
    Write to the Help Desk