Measuring Trends in Racial/Ethnic Health Care Disparities

被引:84
作者
Le Cook, Benjamin [1 ]
McGuire, Thomas G. [2 ]
Zuvekas, Samuel H. [3 ]
机构
[1] Harvard Univ, Sch Med, Somerville, MA USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Agcy Healthcare Res & Qual, Rockville, MD USA
关键词
racial disparities; medical expenditure; trends; statistical adjustment for health status; RACIAL-DIFFERENCES; MEDICAL PROCEDURES; DIAGNOSTIC-TESTS; SERVICES; ACCESS; RESOURCES; INSURANCE; QUALITY;
D O I
10.1177/1077558708323607
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Monitoring disparities over time is complicated by the varying disparity definitions applied in the literature. This study used data from the 1996-2005 Medical Expenditure Panel Survey (MEPS) to compare trends in disparities by three definitions of racial/ethnic disparities and to assess the influence of changes in socioeconomic status (SES) among racial/ethnic minorities on disparity trends. This study prefers the Institute of Medicine's (IOM) definition, which adjusts for health status but allows for mediation of racial/ethnic disparities through SES factors. Black-White disparities in having an office-based or outpatient visit and medical expenditure were roughly constant and Hispanic-White disparities increased for office-based or outpatient visits and for medical expenditure between 1996-1997 and 2004-2005. Estimates based on the independent effect of race/ethnicity were the most conservative accounting of disparities and disparity trends, underlining the importance of the role of SES mediation in the study of trends in disparities.
引用
收藏
页码:23 / 48
页数:26
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