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Home Health Care to Asian Americans: a Systematic Review

OBJECTIVE: Despite being the fastest growing minority group in the USA, Asian Americans are among the least studied ones, particularly in the home and community-based services settings. This study aimed to review and synthesize extant evidence on Asian American’s access, utilization, and outcomes of...

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Autores principales: Ma, Chenjuan, Rajewski, Martha, Bao, Silin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10026777/
https://www.ncbi.nlm.nih.gov/pubmed/36940075
http://dx.doi.org/10.1007/s40615-023-01568-8
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author Ma, Chenjuan
Rajewski, Martha
Bao, Silin
author_facet Ma, Chenjuan
Rajewski, Martha
Bao, Silin
author_sort Ma, Chenjuan
collection PubMed
description OBJECTIVE: Despite being the fastest growing minority group in the USA, Asian Americans are among the least studied ones, particularly in the home and community-based services settings. This study aimed to review and synthesize extant evidence on Asian American’s access, utilization, and outcomes of home health care. METHODS: This is a systematic review study. A comprehensive literature search was conducted in PubMed and CINAHL as well as hand search. Each study was screened, reviewed, and evaluated for quality by at least two reviewers independently. RESULTS: Twelve articles were determined eligible and included for review. Asian Americans were less likely to be discharged to home health care following hospitalization. At admission to home health care, Asian Americans had a high rate of inappropriate medication issues (28%) and they also had poorer functional status compared to White Americans. Asian Americans were also reported with less improvement in functional status at the end of home health care; however, there were some inconsistencies in the evidence on Asian Americans’ utilization of formal/skilled home health care. Quality evaluation indicated that findings from some studies were limited by small sample size, single site/home health agency, analytic approaches, and other methodologic limitations. CONCLUSIONS: Asian Americans often experience inequities in home health care access, utilization, and outcomes. Multilevel factors may contribute to such inequities, including structural racism. Robust research using population-based data and advanced methodology is needed to better understand home health care to Asian Americans.
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spelling pubmed-100267772023-03-21 Home Health Care to Asian Americans: a Systematic Review Ma, Chenjuan Rajewski, Martha Bao, Silin J Racial Ethn Health Disparities Article OBJECTIVE: Despite being the fastest growing minority group in the USA, Asian Americans are among the least studied ones, particularly in the home and community-based services settings. This study aimed to review and synthesize extant evidence on Asian American’s access, utilization, and outcomes of home health care. METHODS: This is a systematic review study. A comprehensive literature search was conducted in PubMed and CINAHL as well as hand search. Each study was screened, reviewed, and evaluated for quality by at least two reviewers independently. RESULTS: Twelve articles were determined eligible and included for review. Asian Americans were less likely to be discharged to home health care following hospitalization. At admission to home health care, Asian Americans had a high rate of inappropriate medication issues (28%) and they also had poorer functional status compared to White Americans. Asian Americans were also reported with less improvement in functional status at the end of home health care; however, there were some inconsistencies in the evidence on Asian Americans’ utilization of formal/skilled home health care. Quality evaluation indicated that findings from some studies were limited by small sample size, single site/home health agency, analytic approaches, and other methodologic limitations. CONCLUSIONS: Asian Americans often experience inequities in home health care access, utilization, and outcomes. Multilevel factors may contribute to such inequities, including structural racism. Robust research using population-based data and advanced methodology is needed to better understand home health care to Asian Americans. Springer International Publishing 2023-03-20 /pmc/articles/PMC10026777/ /pubmed/36940075 http://dx.doi.org/10.1007/s40615-023-01568-8 Text en © W. Montague Cobb-NMA Health Institute 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Ma, Chenjuan
Rajewski, Martha
Bao, Silin
Home Health Care to Asian Americans: a Systematic Review
title Home Health Care to Asian Americans: a Systematic Review
title_full Home Health Care to Asian Americans: a Systematic Review
title_fullStr Home Health Care to Asian Americans: a Systematic Review
title_full_unstemmed Home Health Care to Asian Americans: a Systematic Review
title_short Home Health Care to Asian Americans: a Systematic Review
title_sort home health care to asian americans: a systematic review
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10026777/
https://www.ncbi.nlm.nih.gov/pubmed/36940075
http://dx.doi.org/10.1007/s40615-023-01568-8
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