Date of Conferral

2022

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Ron V. Bucci

Abstract

AbstractLong Term Care (LTC) facilities are a vital contributor to the elderly community regarding their dependent care. However, less is known about how racial disparity impacts patient satisfaction and quality of care in LTC facilities. This non-experimental retrospective quantitative study compared the racial differences of patient satisfaction levels quality of care in LTC facilities (nursing homes that include predominately non-White patients versus predominately White patients). The theoretical framework used for this study the consumer multidimensional model of nursing home care quality to analyze quality of nursing home in the view of providers and consumers. Long Term Care: Fact on Care in the US (LTCFOCUS), the Maryland Healthcare Commission Consumer (MHCC) Guide to Long Term Care and the Nursing Home Family Satisfaction Surveys, and the Nursing Home Consumer Assessment of Healthcare Providers and Systems (NHCAHPS) surveys were used. Through a multiple linear regression analysis, the findings show that there is no significant association between patient satisfaction and the quality of care indicators for elders of marginalized populations residing in LTC facilities, however, signs of depression didn’t have a relationship. Study showed significant association between race and the quality of care indicators for elders of marginalized populations, which tells us that comorbidity level is higher among non-white patients. After controlling for quality of care indicators (which serves as the proxy of patient comorbidity level), race is significantly associated with patient satisfaction. Healthcare administrators and staff can benefit from this study because the results of the study can help determine if improvements are needed within the facility.

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