Differences in Transitional Care Provided to Mexican American and Non-Hispanic White Older Adults

Bibliographic Data

ID19463282
AuthorsJanice D Crist (0000-0002-1999-6704, The University of Arizona, Tucson, AZ, USA, corresponding author), Kari M Koerner (The University of Arizona, Tucson, AZ, USA), Joseph T Hepworth (The University of Arizona, Tucson, AZ, USA), Alice Pasvogel (The University of Arizona, Tucson, AZ, USA), Catherine A Marshall (0000-0002-0592-7716, The University of Arizona, Tucson, AZ, USA), Catherine Marshall (0000-0002-9762-7330, University of Arizona), Teofila P Cruz (The University of Arizona, Tucson, AZ, USA), Judith A Effken (0000-0002-8536-6831, The University of Arizona, Tucson, AZ, USA)
Year2017
Volume28
Issue2
Pages159-167
Publication date2017-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Transcultural Nursing (JOURNAL)
Journal identifiersISSN: 1043-6596 • E-ISSN: 1552-7832
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/1043659615613420
PMID26586696
OpenAlexW2281159339
LanguageEN
Citations received2
References cited24

Background:Transitional care, assisting patients to move safely through multiple health care settings, may be insufficient for older Hispanic patients. Purpose: Describe home health care services referral rates for Hispanic and non-Hispanic White (NHW) patients and factors that influence case managers’ (CMs’) discharge planning processes. Design: Organized by the Ethno-Cultural Gerontological Nursing Model, health records were reviewed ( n = 33,597 cases) and supplemented with qualitative description ( n = 8 CMs). Findings: Controlling for gender, insurance type, age, and hospital length of stay, NHW older adults received more home health care services referrals (odds ratio = 1.23). Insurance coverage was the most frequent determinant of CMs’ post–hospital care choices, rather than patients’ being Hispanic. NHW older adults were more likely to have insurance than Hispanic older adults. Implications: Insurance coverage being CMs’ primary consideration in determining patients’ dispositions is a form of systems-level discrimination for Hispanic vulnerable groups, which combined with other hospital-level constraints, should be addressed with policy-level interventions

Family medicine · Health care · Logistic regression · Odds · Odds ratio · Psychological intervention · Referral · Transitional care · Frailty in Older Adults · Geriatric Care and Nursing Homes · Heart Failure Treatment and Management · Medicine · Nursing · Gerontology

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