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Disparities in long-term healthcare
1Section of Geriatric Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Mail Code A91, 9500 Euclid Avenue, Cleveland, OH 44195, USA. rapporb@ccf.org
The Nursing Clinics of North America
|May 26, 2009
Summary
Health disparities in long-term care are complex, influenced by insurance, access, literacy, and facility factors. This article uses resident examples to explore managing chronic conditions and end-of-life care within nursing homes.
Area of Science:
- Gerontology
- Health Services Research
- Public Health
Background:
- Health disparities are prevalent in both community and long-term care settings.
- Factors contributing to healthcare disparities include insurance, access, health literacy, cultural issues, and geography.
- Nursing home residence introduces additional complexities like facility variations, regulations, and payer dynamics.
Purpose of the Study:
- To illustrate the management of chronic health issues in long-term care residents.
- To examine approaches for addressing end-of-life concerns for individuals in nursing homes.
- To highlight the multifaceted nature of health disparities within the long-term care context.
Main Methods:
- Presentation of two case vignettes detailing resident experiences.
- Qualitative illustration of clinical management and care planning.
Main Results:
- Vignettes demonstrate the practical challenges in managing chronic conditions for nursing home residents.
- Case studies highlight the importance of tailored approaches to end-of-life care discussions and planning.
- The interplay of systemic and individual factors impacting care is illustrated.
Conclusions:
- Effective management of chronic and end-of-life care in nursing homes requires addressing complex, intersecting factors.
- Understanding and mitigating health disparities is crucial for equitable long-term care.
- Further research and policy attention are needed to improve care quality and reduce disparities in this population.
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