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Scott MM, Ménard A, Sun AH, Murmann M, Ramzy A, Rasaputra P, Fleming M, Orosz Z, Huynh C, Welch V, Cooper-Reed A, Hsu AT. Building evidence to advance health equity: a systematic review on care-related outcomes for older, minoritised populations in long-term care homes. Age Ageing 2024; 53:afae059. [PMID: 38557665 PMCID: PMC10982852 DOI: 10.1093/ageing/afae059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Advancing health equity requires more contextualised evidence. OBJECTIVES To synthesise published evidence using an existing framework on the origins of health disparities and determine care-related outcome disparities for residents of long-term care, comparing minoritised populations to the context-specific dominant population. DESIGN Systematic review. SUBJECTS Residents of 24-hour long-term care homes. METHODS The protocol was registered a priori with PROSPERO (CRD42021269489). Literature published between 1 January 2000 and 26 September 2021, was searched, including studies comparing baseline characteristics and outcomes in minoritised versus dominant populations. Dual screening, two-reviewer verification for extraction, and risk of bias assessments were conducted to ensure rigour. Studies were synthesized using a conceptual framework to contextualise evidence according to multi-level factors contributing to the development of care disparities. RESULTS Twenty-one of 34 included studies demonstrated disparities in care outcomes for minoritised groups compared to majority groups. Thirty-one studies observed differences in individual-level characteristics (e.g. age, education, underlying conditions) upon entry to homes, with several outcome disparities (e.g. restraint use, number of medications) present at baseline and remaining or worsening over time. Significant gaps in evidence were identified, particularly an absence of literature on provider information and evidence on the experience of intersecting minority identities that contribute to care-related outcome disparities in long-term care. CONCLUSION This review found differences in minoritised populations' care-related outcomes. The findings provide guidance for future health equity policy and research-supporting diverse and intersectional capacity building in long-term care.
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Affiliation(s)
- Mary M Scott
- The Public Health Agency of Canada, Ottawa, ON, Canada
- The Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | - Alixe Ménard
- The Ottawa Hospital Research Institute, Ottawa, ON, Canada
- Department of Health Sciences, University of Ottawa, Ottawa, ON, Canada
| | - Annie H Sun
- Bruyere Research Institute, Ottawa, ON, Canada
| | - Maya Murmann
- The Ottawa Hospital Research Institute, Ottawa, ON, Canada
- Bruyere Research Institute, Ottawa, ON, Canada
| | - Amy Ramzy
- Bruyere Research Institute, Ottawa, ON, Canada
| | | | - Michelle Fleming
- Bruyere Research Institute, Ottawa, ON, Canada
- Ontario Centres for Learning, Research and Innovation in Long-Term Care, Ottawa, ON, Canada
| | - Zsófia Orosz
- Bruyere Research Institute, Ottawa, ON, Canada
- Ontario Centres for Learning, Research and Innovation in Long-Term Care, Ottawa, ON, Canada
| | - Chau Huynh
- Bruyere Research Institute, Ottawa, ON, Canada
| | - Vivian Welch
- Bruyere Research Institute, Ottawa, ON, Canada
- The Campbell Collaboration, Philadelphia, PA, USA
| | | | - Amy T Hsu
- The Ottawa Hospital Research Institute, Ottawa, ON, Canada
- Bruyere Research Institute, Ottawa, ON, Canada
- Ontario Centres for Learning, Research and Innovation in Long-Term Care, Ottawa, ON, Canada
- Department of Family Medicine, University of Ottawa, Ottawa, ON, Canada
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Raymakers AJN, Sue-Chue-Lam C, Haldane V, Cooper-Reed A, Toccalino D. Climate change, sustainability, and health services research. Health Policy and Technology 2022. [DOI: 10.1016/j.hlpt.2022.100694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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McDonald L, Hussain A, Mirza R, Liu A, Lamanna M, Chaffey S, Zerebecki M, Cooper-Reed A. APPLYING KNOWLEDGE TRANSFER STRATEGIES IN THE DEVELOPMENT OF RESOURCES FOR OPTIMAL AGING. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- L. McDonald
- Insitute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada
| | - A. Hussain
- Insitute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada
| | - R.M. Mirza
- Insitute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada
| | - A. Liu
- Insitute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada
| | - M. Lamanna
- Insitute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada
| | - S. Chaffey
- Insitute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada
| | - M. Zerebecki
- Insitute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada
| | - A. Cooper-Reed
- Insitute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada
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