TY  - BOOK
AU  - Chan, Kitty
TI  - Health Care Disparities in Race-Ethnic Minority Communities and Populations: Does the Availability of Health Care Providers Play a Role?
SN  - 2196-8837
PY  - 2020///
KW  - *Ethnic Groups/sn [Statistics & Numerical Data]
KW  - *Health Care Surveys/sn [Statistics & Numerical Data]
KW  - *Health Personnel/sn [Statistics & Numerical Data]
KW  - *Health Services Accessibility/sn [Statistics & Numerical Data]
KW  - *Healthcare Disparities/eh [Ethnology]
KW  - *Hispanic Americans/px [Psychology]
KW  - *Minority Groups/sn [Statistics & Numerical Data]
KW  - Adult
KW  - Female
KW  - Hispanic Americans/sn [Statistics & Numerical Data]
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - United States/eh [Ethnology]
KW  - MedStar Health Research Institute
KW  - Journal Article
N2  - 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
UR  - https://dx.doi.org/10.1007/s40615-019-00682-w
ER  -