Health Care Disparities in Race-Ethnic Minority Communities and Populations: Does the Availability of Health Care Providers Play a Role?.

MedStar author(s):
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
Name of journal: Journal of racial and ethnic health disparitiesAbstract: 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.All authors: Chan KS, Gaskin DJ, Parikh MA, Thorpe RJ JrOriginally published: Journal of Racial & Ethnic Health Disparities. 2019 Dec 16Fiscal year: FY2020Digital Object Identifier: ORCID: Date added to catalog: 2020-01-03
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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.

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