Differences in Transitional Care Provided to Mexican American and Non-Hispanic White Older Adults

Janice D Crist, Kari M. Koerner, Joseph Hepworth, Alice E Pasvogel, Catherine A. Marshall, Teofila P. Cruz, Judith A. Effken

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Background:Transitional care, assisting patients to move safely through multiple health care settings, may be insufficient for older Hispanic patients. Purpose: Describe home health care services referral rates for Hispanic and non-Hispanic White (NHW) patients and factors that influence case managers’ (CMs’) discharge planning processes. Design: Organized by the Ethno-Cultural Gerontological Nursing Model, health records were reviewed (n = 33,597 cases) and supplemented with qualitative description (n = 8 CMs). Findings: Controlling for gender, insurance type, age, and hospital length of stay, NHW older adults received more home health care services referrals (odds ratio = 1.23). Insurance coverage was the most frequent determinant of CMs’ post–hospital care choices, rather than patients’ being Hispanic. NHW older adults were more likely to have insurance than Hispanic older adults. Implications: Insurance coverage being CMs’ primary consideration in determining patients’ dispositions is a form of systems-level discrimination for Hispanic vulnerable groups, which combined with other hospital-level constraints, should be addressed with policy-level interventions.

Original languageEnglish (US)
Pages (from-to)159-167
Number of pages9
JournalJournal of Transcultural Nursing
Issue number2
StatePublished - Mar 1 2017


  • Mexican American
  • gerontology
  • health disparities
  • mixed-methods
  • think-aloud

ASJC Scopus subject areas

  • General Nursing


Dive into the research topics of 'Differences in Transitional Care Provided to Mexican American and Non-Hispanic White Older Adults'. Together they form a unique fingerprint.

Cite this