Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 4 , Pages 560-563 , April 2009

Disparities in Utilization of Outpatient Rehabilitative Care Following Hip Fracture Hospitalization With Respect to Race and Ethnicity

  • Tracy U. Nguyen-Oghalai, MD

      Affiliations

    • Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX
    • Corresponding Author InformationReprint requests to Tracy U. Nguyen-Oghalai, MD, Division of Rheumatology, University of Texas Medical Branch, 301 University Blvd, Route 1165, Galveston, TX 77555
    • ,
  • Kenneth J. Ottenbacher, PhD, OTR

      Affiliations

    • Division of Rehabilitation Sciences, School of Allied Health Sciences, University of Texas Medical Branch, Galveston, TX
    • ,
  • Yong-fang Kuo, PhD

      Affiliations

    • Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX
    • ,
  • Helen Wu, PhD

      Affiliations

    • Department of Obstetric and Gynecology, University of Texas Medical Branch, Galveston, TX
    • ,
  • Michael Grecula, MD

      Affiliations

    • Department of Orthopedic and Rehabilitation, University of Texas Medical Branch, Galveston, TX
    • ,
  • Karl Eschbach, PhD

      Affiliations

    • Institute for Demographic and Socioeconomic Research, College of Public Policy, University of Texas, San Antonio, TX
    • ,
  • James S. Goodwin, MD

      Affiliations

    • Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX

References 

  1. Hip Fracture Among Older Adults. Centers for Disease Control and Prevention, National Center for Injury prevention and Control (NCIPC), 2006. www.cdc.gov/ncipc/factsheets/adulthipfx.htmAccessed November 5, 2007
  2. CDC-MMWR. Reducing Falls and Resulting Hip Fracture among Older Women. March 2000;
  3. Braddom RL. Medicare funding for inpatient rehabilitation: how did we get to this point and what do we do now?. Arch Phys Med Rehabil. 2005;86:1287–1292
  4. Fitzgerald JF, Fagan LF, Tierney WM, Dittus RS. Changing patterns of hip fracture care before and after implementation of the prospective payment system. JAMA. 1987;258:218–221
  5. Fitzgerald JF, Moore PS, Dittus RS. The care of elderly patients with hip fracture (Changes since implementation of the prospective payment system). N Engl J Med. 1988;319:1392–1397
  6. Gehlbach SH, Avrunin JS, Puleo E. Trends in hospital care for hip fractures. Osteoporos Int. 2007;18:585–591
  7. Parker M, Johansen A. Hip fracture. BMJ. 2006;333:27–30
  8. Aharonoff GB, Barsky A, Hiebert R, Zuckerman JD, Koval KJ. Predictors of discharge to a skilled nursing facility following hip fracture surgery in New York State. Gerontology. 2004;50:298–302
  9. Ganesan K, Pan D, Teklehaimenot S, Norris K. Racial differences in institutionalization after hip fractures: California hospital discharge data. Ethn Dis. 2005;15(4 Suppl 5):S5-30-3
  10. Nguyen-Oghalai TU, Kuo YF, Zhang DD, Graham J, Goodwin JS, Ottenbacher KJ. Discharge setting for persons with hip fracture: trend from 2001 to 2005. J Am Geriatr Soc. 2008;56:1063–1068
  11. Lin PC, Hung SH, Liao MH, Sheen SY, Jong SY. Care needs and level of care difficulty related to hip fractures in geriatric populations during the post-discharge transition period. J Nurs Res. 2006;14:251–260
  12. Kane RL, Chen Q, Finch M, Blewett L, Burns R, Moskowitz M. The optimal outcomes of post-hospital care under medicare. Health Serv Res. 2000;35:615–661
  13. Markides KS, Wallace SP. Minorites Elders in the United States: implications for public policy. In:  Pruchno R,  Smyer M editor. Challenges of an aging society: ethical dilemmas, political issues. Baltimore: Johns Hopkins University Pr; 2007;p. 193–216
  14. Smedley BD. Unequal treatment: confronting racial and ethnic disparities in health care. In:  Nelson S,  Nelson AR editor. Washington, DC: National Academy Pr; 2002;
  15. CDC-MMWR. Incidence and Costs to Medicare of Fractures Among Medicare Bnenficiaries Aged greater than or equal to 65 Years—United States, July 1991-June 1992. Oct 1996;
  16. Eggers PW, Greenberg LG. Racial and ethnic differences in hospitalization rates among aged Medicare beneficiaries, 1998. Health Care Financ Rev. 2000;21:91–105
  17. ICD-9-CM. International Classification of Diseases, 9th revision. Los Angeles: PMIC; 2003;
  18. Klabunde CN, Potosky AL, Legler JM, Warren JL. Development of a comorbidity index using physician claims data. J Clin Epidemiol. 2000;53:1258–1267
  19. Merrell K, Colby DC, Hogan C. Medicare beneficiaries covered by Medicaid buy-in agreements. Health Aff (Millwood). 1997;16:175–184
  20. Harada ND, Chun A, Chiu V, Pakalniskis A. Patterns of rehabilitation utilization after hip fracture in acute hospitals and skilled nursing facilities. Med Care. 2000;38:1119–1130
  21. Lu-Yao GL, Baron JA, Barrett JA, Fisher ES. Treatment and survival among elderly Americans with hip fractures: a population-based study. Am J Public Health. 1994;84:1287–1291
  22. Arday SL, Arday DR, Monroe S, Zhang J. HCFA's racial and ethnic data: current accuracy and recent improvements. Health Care Financ Rev. 2000;21:107–116

 Supported by the Building Interdisciplinary Research in Women's Health Program (grant no. K12HD052023); the National Institute of Allergy and Infectious Diseases; the National Institute of Child Health and Human Development; the Office of the Director, National Institute of Health; the Agency for Healthcare Research and Quality, Health Services Research in Under-Served Populations (grant no. R24 HS011618); National Institute on Aging, National Institutes of Health (grant no. K02 AG019736); and the National Institute of Drug Abuse (grant no. K01DA021814).

PII: S0003-9993(09)00066-5

doi: 10.1016/j.apmr.2008.10.021

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 4 , Pages 560-563 , April 2009

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