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Centre for Policy on Ageing | |
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| Deconstructing racial differences in receipt of secondary stroke prevention agents in nursing homes | | Author(s) | Kate L Lapane, Carmel M Hughes |
| Journal title | Journal of Aging & Pharmacotherapy, vol 13, no 2, 2006 |
| Publisher | Binghamton, NY, 2006 |
| Pages | pp 53-66 |
| Source | The Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580, USA. http://www.HaworthPress.com |
| Keywords | Ethnic groups ; Stroke ; Preventative medicine ; Drugs ; Residents [care homes] ; Nursing homes ; Social surveys ; United States of America. |
| Annotation | The authors sought to evaluate empirically the notion that previously observed racial differences in secondary prevention of stroke relate to the characteristics of nursing homes used by minority ethnic groups. They identified 18577 people recently in hospital with a primary discharge diagnosis of ischaemic stroke in 6 US states from 1992 to 1996, of which 6910 residents living 589 homes had concomitant conditions indicating anticoagulant therapy. They evaluated facility factors including structural (e.g. size), resources (e.g. staffing), and financial (e.g. for profit). Generalised linear models provided estimates of the effect of facility factors on receiving warfarin. Residents classified as black, not of Hispanic origin, were less likely than residents classified as non-Hispanic whites to receive warfarin. For-profit homes (vs non-profit) were least likely to provide residents warfarin. Residing in a home with full-time physicians or non-profit homes attenuated racial differences in warfarin use, while racial differences in warfarin use were greater in for-profit settings. With increasing percentage of residents classified as non-Hispanic white, warfarin use declined across levels of race/ethnicity, although to a greater degree among residents classified as black, but not of Hispanic origin. This study extends the understanding of the effect of race/ethnicity within the context of facility characteristics. The data provide suggestions on how we might optimise drug therapy and eliminate racial differences by considering the necessity of supporting structures and resources in nursing homes. (RH). |
| Accession Number | CPA-070611205 A |
| Classmark | TK: CQA: LK2: LLD: KX: LHB: 3F: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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