Racial and Rural-Urban Disparities in Discharge Among Medicare Patients Hospitalized for Ischemic Stroke
Author Information
Author(s): Cheng Mengyuan, Kennedy Winston, Ferdows Nasim
Primary Institution: Northeastern University
Hypothesis
How do race and rurality affect discharge destination patterns among Medicare beneficiaries hospitalized for ischemic stroke?
Conclusion
The study found significant disparities in discharge destinations based on race and rurality among Medicare patients hospitalized for ischemic stroke.
Supporting Evidence
- Hispanic and Black patients had 62% lower odds of being discharged to hospice or other settings compared to White patients.
- Patients classified as 'Others' had 74% lower odds of being discharged to such settings.
- Rural-adjacent patients had 44% lower odds of being discharged to hospice or other settings compared to urban patients.
Takeaway
This study shows that some groups of patients, like Hispanic and Black individuals, are less likely to go to hospice or other care settings after a stroke compared to White patients.
Methodology
The study used multinomial logistic regression to analyze data from the 5% Medicare Fee-For-Service sample, adjusting for various factors.
Participant Demographics
Medicare beneficiaries hospitalized for ischemic stroke, with a focus on racial and rural-urban differences.
Statistical Information
Confidence Interval
95% CI 0.20-0.73 for Hispanic and Black patients; 95% CI 0.11-0.62 for Others; 95% CI 0.31-1.01 for rural-adjacent patients.
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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