Health Care Disparities in Race-Ethnic Minority Communities and Populations: Does the Availability of Health Care Providers Play a Role?.
Citation: Journal of Racial & Ethnic Health Disparities. 7(3):539-549, 2020 06.PMID: 31845286Institution: MedStar Health Research InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Ethnic Groups/sn [Statistics & Numerical Data] | *Health Care Surveys/sn [Statistics & Numerical Data] | *Health Personnel/sn [Statistics & Numerical Data] | *Health Services Accessibility/sn [Statistics & Numerical Data] | *Healthcare Disparities/eh [Ethnology] | *Hispanic Americans/px [Psychology] | *Minority Groups/sn [Statistics & Numerical Data] | Adult | Female | Hispanic Americans/sn [Statistics & Numerical Data] | Humans | Male | Middle Aged | United States/eh [Ethnology]Year: 2020ISSN:- 2196-8837
- Chan, Kitty S:
- http://orcid.org/0000-0003-2639-4186
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
---|---|---|---|---|---|---|
Journal Article | MedStar Authors Catalog | Article | 31845286 | Available | 31845286 |
CONCLUSIONS: Use of a range of health services is lower in minority communities and individuals. However, provider supply was not an important explanatory factor of these disparities.
DATA EXTRACTION METHODS: Individual-level survey data were linked to race-ethnic composition and health business counts of the respondent's primary care service area (PCSA).
DATA SOURCES: National secondary data from 2014 Medical Expenditure Panel Survey, 5-year estimates (2010-2014) from American Community Survey, and 2014 InfoUSA.
OBJECTIVES: To examine disparities in use and access to different health care providers by community and individual race-ethnicity and to test provider supply as a potential mediator.
PRINCIPAL FINDINGS: Minority PCSAs are significantly and independently associated with lower odds of having a visit to a physician assistant/nurse practitioner, dentist, or other health professionals and having a usual care provider (all p < 0.05). Few significant associations were observed for integrated PCSAs or for health provider supply. A modest mediation effect for provider supply was observed for travel time to usual care provider and visit to other health professionals.
STUDY DESIGN: Multiple logistic regression models examined the association of community and individual race-ethnicity with reported health care visits and access. Mediation analyses tested the role of provider supply.
English