作者
SHEKINAH A FASHAW‐WALTERS, Momotazur Rahman, Gilbert Gee, Vincent Mor, MARICRUZ RIVERA‐HERNANDEZ, Ceron Ford, Kali S Thomas
发表日期
2023/6
期刊
The Milbank Quarterly
卷号
101
期号
2
页码范围
527-559
简介
Policy Points
  • Public reporting is associated with both mitigating and exacerbating inequities in high‐quality home health agency use for marginalized groups.
  • Ensuring equitable access to home health requires taking a closer look at potentially inequitable policies to ensure that these policies are not inadvertently exacerbating disparities as home health public reporting potentially does.
  • Targeted federal, state, and local interventions should focus on raising awareness about the five‐star quality ratings among marginalized populations for whom inequities have been exacerbated.
Context
Literature suggests that public reporting of quality may have the unintended consequence of exacerbating disparities in access to high‐quality, long‐term care for older adults. The objective of this study is to evaluate the impact of the home health five‐star ratings on changes in high‐quality home health agency use by race …
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