Racial and ethnic disparities in post-acute care service utilization after stroke

Abstract

Evidence examining disparities in post-acute care (PAC) utilization among various racial and ethnic groups after stroke and the influence of social determinants of health (SDOH) in these decisions is lacking. Thus, we searched the literature from January 2000 to November 2023 regarding PAC among individuals after stroke through: 1) Pubmed, 2) Scopus, 3) Web of Science, 4) Embase, and 5) CINAHL. We found 14 studies. Black individuals were more likely than White individuals to be discharged home with home health (HH) and skilled nursing facilities (SNF). Hispanic individuals were more likely than White individuals to be discharged home with HH, but less likely to be discharged to institutions. Lower socioeconomic status, Medicaid insurance, urban residence, area PAC supply and hospital characteristics were associated with increased institutional discharges among racial and ethnic minority individuals. Future policy should improve access to appropriate PAC commensurate with an individual's medical/social complexity.