Title

Medicare' Hospital-Acquired Condition Reduction Program and Community Diversity in the United States: The Need to Account for Racial and Ethnic Segregation

Document Type

Article

Publication Date

10-1-2019

Subject Area

ARRAY(0x55b6a65c6f30)

Abstract

This study investigated the association between community diversity within hospitals' referral region (HRR) and hospital-acquired conditions (HACs) incident rate among adults ages ≥ 65 years. HRR level (n = 274) HACs were examined and the analysis showed that high diverse communities (OR 1.48, 95% CI [1.15,1.91]) had higher adjusted odds than low diverse communities to score poorly on Domain 2, and increased odds of scoring poor on overall total HAC score. Although hospital quality of care is not intentionally segregated, its surrounding community is impacting its performance, thus policymakers need to accommodate the diversity of communities when developing pay-for-performance or merit-based initiatives.

Publication Title

Hospital topics

Volume

97

Issue

4

First Page

148

Last Page

155

Digital Object Identifier (DOI)

10.1080/00185868.2019.1659122

PubMed ID

31464174

E-ISSN

19399278

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