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    Association between Residential Segregation and Long-Term Acute Care Hospital Performance on Improvement in Function among Ventilated Patients

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    Authors
    Jain, Snigdha
    Walkey, Allan J.
    Law, Anica C.
    Ferrante, Lauren E.
    Lindenauer, Peter K.
    Krumholz, Harlan M.
    UMass Chan Affiliations
    Department of Population and Quantitative Health Sciences
    Document Type
    Letter to the Editor
    Publication Date
    2022-01-01
    Keywords
    UMCCTS funding
    Critical Care
    Health Services Administration
    Health Services Research
    Race and Ethnicity
    Translational Medical Research
    
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    Link to Full Text
    https://doi.org/10.1513/annalsats.202107-796rl
    Abstract
    One in five survivors of critical illness who require prolonged mechanical ventilation are discharged to long-term acute care hospitals (LTCHs). Although disparities based on race and insurance have been described in LTCH use, studies have not evaluated equity in outcomes. Improvement in function (e.g., mobility) is a crucial recovery goal for patients requiring prolonged mechanical ventilation. Research in other areas has suggested that Black patients disproportionately receive care in lower-performing facilities. Whether LTCHs serving communities with more segregation achieve lower gains in functional outcomes is unknown. In response to the Improving Medicare Post-Acute Care Transformation Act, the Centers for Medicare and Medicaid Services mandated reporting of change in mobility among ventilated patients as an LTCH quality measure. We sought to examine the association between the racial composition of the neighborhood and county of an LTCH and performance on the functional mobility improvement measure.
    Source

    Jain S, Walkey AJ, Law AC, Ferrante LE, Lindenauer PK, Krumholz HM. Association between Residential Segregation and Long-Term Acute Care Hospital Performance on Improvement in Function among Ventilated Patients. Ann Am Thorac Soc. 2022 Jan;19(1):147-150. doi: 10.1513/AnnalsATS.202107-796RL. PMID: 34644244; PMCID: PMC8787797. Link to article on publisher's site

    DOI
    10.1513/AnnalsATS.202107-796RL
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/50448
    PubMed ID
    34644244
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1513/AnnalsATS.202107-796RL
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    Population and Quantitative Health Sciences Publications
    UMass Center for Clinical and Translational Science Supported Publications

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