SPH researchers analyzed overall functional improvement outcomes for a sample of home health patients that included Black, Hispanic, Asian-American/Pacific Islander , American Indian/Alaska Native and white Medicare-enrolled people aged 65 years and older. By measuring the functional improvement of patients both within specific home health agencies and between different home health agencies, the researchers developed a more complete analysis of what causes disparities in functional improvement.
The percentage of patients with functional improvement was 79% for white and higher-income patients, 76% for AAPI patients, 72% for Black and AIAN patients, 71% for low-income patients and 70% for Hispanic patients. Functional improvement inequities for Black, Hispanic and AIAN patients are mostly attributable to the quality of the home health agencies to which they have access in their communities.
"Understanding how inequities are created and maintained is important for understanding how we can advance equity in the"As one of the first studies to look at racial, ethnic and income-based disparities in home health functional improvement for, this research speaks to the various ways in which functional improvement inequities are created and maintained."
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