Health Care Disparities in Race-Ethnic Minority Communities and Populations: Does the Availability of Health Care Providers Play a Role?.
Health Care Disparities in Race-Ethnic Minority Communities and Populations: Does the Availability of Health Care Providers Play a Role?.
- 2020
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
2196-8837
10.1007/s40615-019-00682-w [doi] 10.1007/s40615-019-00682-w [pii]
*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]
MedStar Health Research Institute
Journal Article
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
2196-8837
10.1007/s40615-019-00682-w [doi] 10.1007/s40615-019-00682-w [pii]
*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]
MedStar Health Research Institute
Journal Article