Providing equitable and patient-centered care is critical to ensuring high quality of care in any healthcare sectors. This presentation focuses on the nursing home sector in which racial/ethnic disparities in quality are widely reported. It is largely unknown whether disparities exist in patient experiences with care and how public reporting of patient experiences affects nursing home performance and potential racial/ethnic disparities. Our study analyzed trend of consumer ratings publicly reported for Maryland nursing homes during 2007-2010, and determined whether racial/ethnic disparities in experiences with care changed during this period. Consumer ratings were reported for overall evaluation of care, recommendation of the facility, staff performance, actual care provided, food & meals, physical environment, and autonomy & personal rights. We found that although ratings on overall and individual domains of care improved over time on average, site-of-care disparities persisted with facilities more predominated by racial/ethnic minority patients having lower scores.
Speaker Biography - Yue Li, PhD
Yue Li, PhD
Associate Professor (tenured), Division of Health Policy and Outcomes Research, Department of Public Health Sciences, University of Rochester
Dr. Li is an experienced Health Services Researcher, and a tenured Associate Professor in the Department of Public Health Sciences, University of Rochester Medical Center. His research interests include healthcare outcome assessment and quality report cards; health policies and impact on quality of care; as well as disparities in healthcare. He is currently funded by the Patrick and Catherine Weldon Donaghue Medical Research Foundation on a project examining hospital and nursing home care practices that may help reduce rehospitalizations and emergency room visits. He is also the principal investigator of a project funded by the NIH that investigates the impact of state regulations, financial incentives, and market competition on the racial/ethnic disparities in quality of care; and the principal investigator of an AHRQ-funded project that focuses on the state policy effects on appropriate safety culture for nursing home care. He teaches two graduate-level courses (Health Economics; Quality of Care & Risk Adjustment) for the MA/PhD program of Health Policy & Outcomes Research at the URMC.
Seminars are FREE and open to the public. If you can not attend, Videotapes of Public Health seminars are archived through the UC Irvine OpenCourseWare program - please visit OpenCourseWare: http://ocw.uci.edu.