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- Title
Separate and unequal: racial segregation and disparities in quality across U.S. nursing homes.
- Authors
Smith, David Barton; Feng, Zhanlian; Fennell, Mary L; Zinn, Jacqueline S; Mor, Vincent
- Abstract
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.
- Publication
Health affairs (Project Hope), 2007, Vol 26, Issue 5, p1448
- ISSN
1544-5208
- Publication type
Journal Article
- DOI
10.1377/hlthaff.26.5.1448