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Racial differences in discharge planning

N Morrow-Howell1, L A Chadiha, E K Proctor

  • 1George Warren Brown School of Social Work, Washington University, St. Louis, MO 63130-4899, USA. nancymh@gwbssw.whstl.edu

Health & Social Work
|May 1, 1996
PubMed
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Racial differences in posthospital care utilization among elderly patients are linked to discharge planning. African American patients received more in-home services, while white patients were more likely to be considered for nursing homes.

Area of Science:

  • Gerontology
  • Health Services Research
  • Sociology of Health and Illness

Background:

  • Previous research indicates racial disparities in posthospital care utilization among older adults.
  • Discharge planning is a critical juncture influencing posthospital care choices.

Purpose of the Study:

  • To investigate racial differences in discharge planning processes for posthospital care among elderly African American and white patients.
  • To examine how patient and family preferences influence the consideration of nursing home care based on race.

Main Methods:

  • A comparative analysis of discharge plans for 369 African American and white elderly patients.
  • Examination of pursued posthospital care options and reasons for ruling out nursing home care.

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Main Results:

  • Discharge planning for African American patients involved less pursuit of nursing home care compared to white patients.
  • Planning with African American patients and families resulted in greater pursuit of formal home-based services.
  • Racial differences were observed in the consideration of nursing home care based on patient and family preferences.

Conclusions:

  • Discharge planning processes contribute to racial disparities in posthospital care utilization.
  • Tailoring discharge planning to address racial and cultural preferences may improve equitable access to posthospital care.
  • Further research is needed to understand the long-term impact of these planning differences on patient outcomes.