Do racial disparities exist in access to inpatient stroke rehabilitation in the state of Maryland?

Patricia C. Gregory, Euna Han, Olga Morozova, Keith V. Kuhlemeier

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

OBJECTIVE: Black patients tend to have a greater number and severity of stroke cases. The literature on access to rehabilitative services shows mixed results ranging from no disparities to limited access among minority populations. This study evaluated the association of race and acute discharge to inpatient stroke rehabilitation in Maryland, a diagnostic related group-and postacute care prospective payment system-exempt state. DESIGN: Data from the Maryland Health Services and Cost Review Commission database for 2000 was used to conduct a cross sectional retrospective review to determine the rate of disposition to inpatient rehabilitation facilities (IRF). Multiple logistic regression analyses evaluated factors associated with discharge to IRF in this population. RESULTS: There were a total of 12,208 patients hospitalized with stroke in the year 2000. Compared with urban-dwelling white patients, black patients who lived in urban dwellings were more likely to be discharged to IRF, OR 1.42, 95% CI (1.06, 1.91). CONCLUSION: In the state of Maryland, urban-dwelling black stroke patients were more likely to be discharged to IRF acutely after stroke. Future studies should assess whether this trend persists in states that have larger rural populations.

Original languageEnglish
Pages (from-to)814-819
Number of pages6
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume85
Issue number10
DOIs
Publication statusPublished - 2006 Oct 1

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Inpatients
Rehabilitation
Stroke
Subacute Care
Prospective Payment System
Diagnosis-Related Groups
Rural Population
Health Care Costs
Population
Health Services
Logistic Models
Regression Analysis
Stroke Rehabilitation
Databases

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

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abstract = "OBJECTIVE: Black patients tend to have a greater number and severity of stroke cases. The literature on access to rehabilitative services shows mixed results ranging from no disparities to limited access among minority populations. This study evaluated the association of race and acute discharge to inpatient stroke rehabilitation in Maryland, a diagnostic related group-and postacute care prospective payment system-exempt state. DESIGN: Data from the Maryland Health Services and Cost Review Commission database for 2000 was used to conduct a cross sectional retrospective review to determine the rate of disposition to inpatient rehabilitation facilities (IRF). Multiple logistic regression analyses evaluated factors associated with discharge to IRF in this population. RESULTS: There were a total of 12,208 patients hospitalized with stroke in the year 2000. Compared with urban-dwelling white patients, black patients who lived in urban dwellings were more likely to be discharged to IRF, OR 1.42, 95{\%} CI (1.06, 1.91). CONCLUSION: In the state of Maryland, urban-dwelling black stroke patients were more likely to be discharged to IRF acutely after stroke. Future studies should assess whether this trend persists in states that have larger rural populations.",
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Do racial disparities exist in access to inpatient stroke rehabilitation in the state of Maryland? / Gregory, Patricia C.; Han, Euna; Morozova, Olga; Kuhlemeier, Keith V.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 85, No. 10, 01.10.2006, p. 814-819.

Research output: Contribution to journalArticle

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