Biomaterial Database

Population ecology and the racial integration of hospitals and nursing homes in the United States. 1990

D B Smith

Department of Health Administration, Temple University, Philadelphia, PA 19122.

Although the passage of major civil-rights legislation in the 1960s compelled American hospitals to take concerted steps to achieve racial integration, nursing homes did not come under the same organizational and financial pressures to do so. As a result, nursing homes remained significantly segregated; to this day, there is a greater discrepancy between black and white people's access to long-term-care facilities than to acute-care hospitals. The perspective of population ecology may be used to help account for these disparate historical outcomes; economics, demographics, and more subtle patterns of discrimination continue to reinforce forms of segregation in health-care facilities.

UI	MeSH Term	Description	Entries
D008504	Medical Staff Privileges	Those rights or activities which are specific to members of the institution's medical staff, including the right to admit private patients.	Medical Staff Privileges, Nonphysician,Staff Privileges, Medical,Medical Staff Privilege,Privilege, Medical Staff,Privileges, Medical Staff,Staff Privilege, Medical
D009735	Nursing Homes	Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.	Homes, Nursing,Nursing Home
D009936	Organizational Innovation	Introduction of changes which are new to the organization and are created by management.	Organizational Change,Change, Organizational,Innovation, Organizational,Changes, Organizational,Innovations, Organizational,Organizational Changes,Organizational Innovations
D011157	Population Dynamics	The pattern of any process, or the interrelationship of phenomena, which affects growth or change within a population.	Malthusianism,Neomalthusianism,Demographic Aging,Demographic Transition,Optimum Population,Population Decrease,Population Pressure,Population Replacement,Population Theory,Residential Mobility,Rural-Urban Migration,Stable Population,Stationary Population,Aging, Demographic,Decrease, Population,Decreases, Population,Demographic Transitions,Dynamics, Population,Migration, Rural-Urban,Migrations, Rural-Urban,Mobilities, Residential,Mobility, Residential,Optimum Populations,Population Decreases,Population Pressures,Population Replacements,Population Theories,Population, Optimum,Population, Stable,Population, Stationary,Populations, Optimum,Populations, Stable,Populations, Stationary,Pressure, Population,Pressures, Population,Replacement, Population,Replacements, Population,Residential Mobilities,Rural Urban Migration,Rural-Urban Migrations,Stable Populations,Stationary Populations,Theories, Population,Theory, Population,Transition, Demographic,Transitions, Demographic
D011287	Prejudice	A preconceived judgment made without factual basis.	Anti-Semitism,Islamophobia,Anti Semitism,Anti-Semitisms,Islamophobias,Prejudices
D011822	Race Relations	Cultural contacts between people of different races.	Interracial Relations,Racial Relations,Interracial Relation,Relation, Interracial,Relations, Interracial,Relations, Race,Relations, Racial
D001741	Black or African American	A person having origins in any of the black racial groups of Africa (https://www.federalregister.gov/documents/1997/10/30/97-28653/revisions-to-the-standards-for-the classification-of-federal-data-on-race-and-ethnicity). In the United States it is used for classification of federal government data on race and ethnicity. Race and ethnicity terms are self-identified social construct and may include terms outdated and offensive in MeSH to assist users who are interested in retrieving comprehensive search results for studies such as in longitudinal studies.	African American,African Americans,African-American,Afro-American,Afro-Americans,Black Americans,Blacks,Negroes,African-Americans,Negro,Afro American,Afro Americans,American, African,American, Black,Black American
D002391	Catchment Area, Health	A geographic area defined and served by a health program or institution.	Health Service Area,Health Catchment Area,Service Area, Health,Area, Health Catchment,Area, Health Service,Areas, Health Catchment,Areas, Health Service,Catchment Areas, Health,Health Catchment Areas,Health Service Areas,Service Areas, Health
D002961	Civil Rights	Legal guarantee protecting the individual from attack on personal liberties, right to fair trial, right to vote, and freedom from discrimination on the basis of race, color, religion, sex, age, disability, or national origin. (from http://www.usccr.gov/ accessed 1/31/2003)	Due Process,Minority Rights,Equal Protection,Legal Rights,Voting Rights,Civil Right,Legal Right,Minority Right,Protection, Equal,Right, Civil,Right, Legal,Right, Minority,Right, Voting,Rights, Civil,Rights, Legal,Rights, Minority,Rights, Voting,Voting Right
D006739	Hospital Administration	Management of the internal organization of the hospital.	Hospital Organization and Administration,Organization and Administration, Hospital,Administration, Hospital