Changes in racial differences in use of medical procedures and diagnostic tests among elderly persons: 1986-1997

被引:31
作者
Escarce, JJ
McGuire, TG
机构
[1] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA
[2] Univ Calif Los Angeles, Sch Publ Hlth, Los Angeles, CA 90024 USA
[3] RAND Hlth, Santa Monica, CA USA
关键词
D O I
10.2105/AJPH.94.10.1795
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. We used 1997 Medicare data to replicate an earlier study that used data from 1986 to examine racial differences in usage of specific medical procedures or tests among elderly persons. Methods. We used 1997 physician claims data to obtain a random sample of 5% of Medicare beneficiaries aged 65 years and older. We used this sample to study 30 procedures and tests that were analyzed in the 1986 study, as well as several new procedures that became more widely used in the early 1990s. Results. Racial differences remain in the rates of use of these procedures; in general, Blacks have lower rates of use than do Whites. Between 1986 and 1997, the ratio of White to Black use moved in favor of Blacks for all but 4 of the established procedures studied. Conclusions. The White-Black gap in health care use under Medicare is narrowing.
引用
收藏
页码:1795 / 1799
页数:5
相关论文
共 13 条
[1]  
[Anonymous], 2002, UN TREATM CONFR RAC
[2]  
Arday SL, 2000, HEALTH CARE FINANC R, V21, P107
[3]   RACIAL-DIFFERENCES IN THE USE OF REVASCULARIZATION PROCEDURES AFTER CORONARY ANGIOGRAPHY [J].
AYANIAN, JZ ;
UDVARHELYI, IS ;
GATSONIS, CA ;
PASHOS, CL ;
EPSTEIN, AM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 269 (20) :2642-2646
[4]  
*BAR GROUP, 1999, PROF QMB EL SLMB EL
[5]   RACIAL-DIFFERENCES IN THE ELDERLY USE OF MEDICAL PROCEDURES AND DIAGNOSTIC-TESTS [J].
ESCARCE, JJ ;
EPSTEIN, KR ;
COLBY, DC ;
SCHWARTZ, JS .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1993, 83 (07) :948-954
[6]   Methods for using Medicare data to compare procedure rates among Asians, blacks, Hispanics, native Americans, and whites [J].
Escarce, JJ ;
McGuire, TG .
HEALTH SERVICES RESEARCH, 2003, 38 (05) :1303-1317
[7]   Effects of race and income on mortality and use of services among Medicare beneficiaries [J].
Gornick, ME ;
Eggers, PW ;
Reilly, TW ;
Mentnech, RM ;
Fitterman, LK ;
Kucken, LE ;
Vladeck, BC .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (11) :791-799
[8]   A decade of research on disparities in medicare utilization: Lessons for the health and health care of vulnerable men [J].
Gornick, ME .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93 (05) :753-759
[9]  
Kleinbaum DG., 1982, EPIDEMIOLOGIC RES
[10]   Racial and ethnic differences in access to medical care [J].
Mayberry, RM ;
Mili, F ;
Ofili, E .
MEDICAL CARE RESEARCH AND REVIEW, 2000, 57 :108-145