Health Care Disparities in Race-Ethnic Minority Communities and Populations: Does the Availability of Health Care Providers Play a Role?
J Racial Ethn Health Disparities
; 7(3): 539-549, 2020 06.
Article
em En
| MEDLINE
| ID: mdl-31845286
ABSTRACT
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. DATA SOURCES National secondary data from 2014 Medical Expenditure Panel Survey, 5-year estimates (2010-2014) from American Community Survey, and 2014 InfoUSA. STUDYDESIGN:
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. DATA EXTRACTIONMETHODS:
Individual-level survey data were linked to race-ethnic composition and health business counts of the respondent's primary care service area (PCSA). PRINCIPALFINDINGS:
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.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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Etnicidade
/
Hispânico ou Latino
/
Pessoal de Saúde
/
Pesquisas sobre Atenção à Saúde
/
Disparidades em Assistência à Saúde
/
Acessibilidade aos Serviços de Saúde
/
Grupos Minoritários
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Racial Ethn Health Disparities
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Estados Unidos