A new study published in Neurology Clinical Practice reveals significant disparities in post-stroke care access among different racial and ethnic groups in the United States, particularly affecting uninsured Hispanic patients.
Researchers from the Cleveland Clinic analyzed data from 1.1 million stroke patients, finding that insurance coverage, ethnicity, and geographic location all play crucial roles in determining a person’s ability to receive care after a stroke.
The study’s lead author, Dr. Shumei Man, emphasized the importance of proper care following a stroke, stating, “Receiving the right care after a stroke is crucial to recovery and minimizing disability.”
Results showed that Hispanic patients were more likely to be discharged home without services and less likely to be referred to rehabilitation facilities compared to white and Black patients. Uninsured individuals faced even greater challenges, with Hispanic patients 26% less likely to receive home health care than uninsured white patients.
Insurance status emerged as a significant factor, with uninsured patients 56% less likely to be discharged to a healthcare facility and 21% less likely to receive home health care services compared to those with private insurance.
Geographic disparities were also noted, with New England hospitals more likely to discharge stroke patients to facilities or provide home health care compared to other regions.
Dr. Man concluded, “These findings indicate that targeted efforts are needed to improve access to care after stroke for people without insurance, especially Hispanic people, as well as those in specific regions to ensure optimal recovery and successful community transition for all people across the country.”
