Older Black Americans' Perspectives on Structural Racism-Resilience as a Form of Resistance.

Purpose: The purpose of this study was to develop a deep understanding of the lived experiences of structural racism and discrimination among older Black Americans' and their perceptions of structural racism across their lives. We also considered individual and community resilience capacity and response in the face of systemic racism.

Methods: In-depth interviews were conducted with Black community-dwelling adults aged 55 and older in and around Baltimore City.

Proposing A Racism-Conscious Approach To Policy Making And Health Care Practices.

Racial and ethnic health inequities are driven by multiple social and political factors. Race-neutral policies that overlook the role of racism in policy and in disparities may also contribute to inequities. In response, one broad policy-making approach has been to craft race-based policies that attempt to improve outcomes explicitly for specific racial groups.

Getting to the root: Examining within and between home health agency inequities in functional improvement.

Objective: To quantify racial, ethnic, and income-based disparities in home health (HH) patients' functional improvement within and between HH agencies (HHAs).

Data Sources: 2016-2017 Outcome and Assessment Information Set, Medicare Beneficiary Summary File, and Census data.

Data Collection/extraction Methods: Not Applicable.

Potentially More Out of Reach: Public Reporting Exacerbates Inequities in Home Health Access.

Unlabelled: Policy Points Public reporting is associated with both mitigating and exacerbating inequities in high-quality home health agency use for marginalized groups. Ensuring equitable access to home health requires taking a closer look at potentially inequitable policies to ensure that these policies are not inadvertently exacerbating disparities as home health public reporting potentially does. Targeted federal, state, and local interventions should focus on raising awareness about the five-star quality ratings among marginalized populations for whom inequities have been exacerbated.

Out Of Reach: Inequities In The Use Of High-Quality Home Health Agencies.

Patients receiving home health services from high-quality home health agencies often experience fewer adverse outcomes (for example, hospitalizations) than patients receiving services from low-quality agencies. Using administrative data from 2016 and regression analysis, we examined individual- and neighborhood-level racial, ethnic, and socioeconomic factors associated with the use of high-quality home health agencies. We found that Black and Hispanic home health patients had a 2.

Disproportionate increases in schizophrenia diagnoses among Black nursing home residents with ADRD.

Background: Previous research demonstrated an increase in the reporting of schizophrenia diagnoses among nursing home (NH) residents after the Centers for Medicare & Medicaid Services National Partnership to Improve Dementia Care. Given known health and healthcare disparities among Black NH residents, we examined how race and Alzheimer's and related dementia (ADRD) status influenced the rate of schizophrenia diagnoses among NH residents following the partnership.

Methods: We used a quasi-experimental difference-in-differences design to study the quarterly prevalence of schizophrenia among US long-stay NH residents aged 65 years and older, by Black race and ADRD status.