Abstract
For more than 20 years, gerontologists have struggled to explain through theory and empirical research what determines when and how elderly individuals use nursing home services. A subset of this work has focused on these questions relative to elderly from racial and ethnic groups. This article examines trends in nursing home utilization by older Blacks over the decade from 1982 to 1992 and raises a number of policy issues. Three major policy areas are discussed: (1) impact of current policies and regulations governing the operation and financing of residential health care facilities on access to care for racial and ethnic minority groups; (2) public subsidization of nursing home care and its impact on the burden of providing care for families of color; and (3) support for and development of racial/ethnic-specific long term care services as a matter of public policy. For each of these three policy issues, a proposed research agenda is delineated.
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