We describe the racial segregation in U.S. nursing homes and its relationship to racial disparities in the quality of care. Nursing homes remain relatively segregated, roughly mirroring the residential segregation within metropolitan areas. As a result, blacks are much more likely than whites to be located in nursing homes that have serious deficiencies, lower staffing ratios, and greater financial vulnerability. Changing health care providers' behavior will not be sufficient to eliminate disparities in medical treatment in nursing homes. Persistent segregation among homes poses a substantial barrier to progress.
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http://dx.doi.org/10.1377/hlthaff.26.5.1448 | DOI Listing |
JBI Evid Synth
January 2025
University of Gondar, College of Medical and Health Sciences, Gondar, Ethiopia.
Objective: This review will explore the perinatal care experiences of women living with disability in African countries.
Introduction: In many African countries, most women with disability face stigma and discrimination. They are also at risk of unwanted pregnancy and sexually transmitted diseases due to gender-based violence and sexual abuse.
Infect Control Hosp Epidemiol
January 2025
Acute Communicable Disease Control, Los Angeles County Department of Public Health, Los Angeles, USA.
Introduction: Nursing home (NH) residents have an elevated risk of coronavirus disease 2019 (COVID-19) infection and severe outcomes. However, literature regarding outbreak outcomes at the facility level is limited.
Methods: NH outbreaks beginning between March 1, 2020, and February 22, 2022, at facilities under Los Angeles County jurisdiction were assigned to 1 of 6 time periods defined by dominant variants, surges in community transmission, and vaccination levels.
Home Healthc Now
January 2025
Mary McGoldrick, MS, RN, CRNI, FAAN, is a Home Care and Hospice Consultant, Home Health Systems, Inc., Naples, Florida.
Home care clinicians have transported equipment and supplies to their patients' homes for decades using a bag that's been referred to as a "nursing bag" or "medical bag," among others. Regardless of what the bag is called, how it and its contents are managed is essential to prevent the transmission of potentially pathogenic microorganisms from one patient's home to another when making home visits. Bag technique is a component of the standard precautions implemented in home care and an essential practice that applies to all patients receiving in-home care, regardless of their suspected or confirmed infectious state.
View Article and Find Full Text PDFBMC Palliat Care
January 2025
Institute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller University Jena, Jena, Germany.
Background: There are hardly any data on the extent to which nursing home residents are provided with palliative homecare. We want to add evidence by comparing nursing home residents (who had been living in a nursing home for at least one year) and nursing-care-dependent community dwellers in terms of utilization and quality of palliative homecare.
Methods: We conducted a population-based study with nationwide claims data from deceased beneficiaries of a large German health insurance provider.
BMC Geriatr
January 2025
¹Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Background: Dignity therapy is a brief, structured psychotherapeutic intervention originally designed to help last-stage cancer patients maintain their dignity. It consists of a semi-structured interview encouraging patients to talk about their lives. The recorded session are transcribed and edited, after which the patient has the opportunity to make further changes to the final document.
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