Contextual determinants of US nursing home racial/ethnic diversity. Davis, J., A.; Weech-Maldonado, R.; Lapane, K., L.; and Laberge, A. Social science & medicine (1982), 104:142-147, Pergamon, 2014.
Contextual determinants of US nursing home racial/ethnic diversity [link]Website  abstract   bibtex   
We hypothesized that for-profit/chain affiliated nursing homes, those in states with higher Medicaid reimbursement, and those in more competitive markets would have greater resident racial/ethnic diversity than nursing homes not meeting these criteria. Using 2004 Online Survey, Certification and Reporting data, Minimum Data Set, Lewis Mumford Center for Comparative Urban and Regional Research data, and the Area Resource File, we included U.S. Medicare/Medicaid certified nursing homes (N = 8950) located in 310 Metropolitan Statistical Areas. The dependent variable quantified facility-level multiracial diversity. Ordinary least squares regression showed support for the hypothesized relationships: for-profit/chain affiliated nursing homes were more diverse than nursing homes in all other ownership/chain member categories, while higher Medicaid per-diem rates, greater residential diversity, and stronger market competition were also positively associated with nursing home racial/ethnic composition. Results suggest there is room for policy changes to achieve equitable access to all levels of nursing home services for minority elders.; Copyright © 2013 Elsevier Ltd. All rights reserved.
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 title = {Contextual determinants of US nursing home racial/ethnic diversity},
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 year = {2014},
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 keywords = {Diversity,Minorities,Nursing homes,Race/Ethnicity,Segregation,United States},
 pages = {142-147},
 volume = {104},
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 publisher = {Pergamon},
 city = {Management Department, The University of Alabama, Box 870225, Tuscaloosa, AL 35487, USA; Center for Mental Health and Aging, The University of Alabama, Box 870315, Tuscaloosa, AL 35487, USA. Electronic address: jdavis@cba.ua.edu.; Department of Health Ser},
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 notes = {ID: 24581072; Accession Number: 24581072. Language: English. Date Created: 20140303. Update Code: 20140303. Publication Type: Journal Article. Journal ID: 8303205. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: Soc Sci Med. Linking ISSN: 02779536. Subset: In-Data-Review; IM; Date of Electronic Publication: 2013 Dec 21. ; Original Imprints: Publication: Oxford ; New York : Pergamon, c1982-},
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 abstract = {We hypothesized that for-profit/chain affiliated nursing homes, those in states with higher Medicaid reimbursement, and those in more competitive markets would have greater resident racial/ethnic diversity than nursing homes not meeting these criteria. Using 2004 Online Survey, Certification and Reporting data, Minimum Data Set, Lewis Mumford Center for Comparative Urban and Regional Research data, and the Area Resource File, we included U.S. Medicare/Medicaid certified nursing homes (N = 8950) located in 310 Metropolitan Statistical Areas. The dependent variable quantified facility-level multiracial diversity. Ordinary least squares regression showed support for the hypothesized relationships: for-profit/chain affiliated nursing homes were more diverse than nursing homes in all other ownership/chain member categories, while higher Medicaid per-diem rates, greater residential diversity, and stronger market competition were also positively associated with nursing home racial/ethnic composition. Results suggest there is room for policy changes to achieve equitable access to all levels of nursing home services for minority elders.; Copyright © 2013 Elsevier Ltd. All rights reserved.},
 bibtype = {article},
 author = {Davis, Jullet A and Weech-Maldonado, Robert and Lapane, Kate L and Laberge, Alex},
 journal = {Social science & medicine (1982)}
}
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