Variation in Quality of Men??s Health Care by Race/Ethnicity and Social Class

Felix-Aaron, Kaytura L; Moy, Ernest; Kang, Minsun; Patel, Mona; Chesley, Francis; Clancy, Carolyn M.

doi:10.1097/00005650-200503001-00011

Cited by 36 publications

(34 citation statements)

References 25 publications

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“…Consistent with previous studies, [1][2][3][4][5][6][7][8][9] we found significant age-adjusted racial and ethnic disparities for receipt of preventive services in the past 12 months in this national sample of elderly patients. Despite poorer self-rated and functional health, minorities were significantly less likely to have made 2 to 3 primary care visits and more likely to have had no primary care visits during the year.…”

Section: Discussionsupporting

confidence: 91%

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Impact of Primary Care Patient Visits on Racial and Ethnic Disparities in Preventive Care in the United States

Fiscella¹,

Holt²

2007

The Journal of the American Board of Family Medicine

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Background:The causes of racial and ethnic disparities in preventive care are not fully understood. We examined the hypothesis that fewer primary care visits by minority patients contribute to these disparities.Methods: We analyzed claims for Medicare beneficiaries 65 and older who participated in the Medicare Current Beneficiary Survey, 1998 to 2002. Five preventive services were included: colorectal cancer testing, influenza vaccination, lipid screening, mammography, and Papanicolaou smear screening. In separate multivariate analyses, we examined the effect of minority status (self-report of African American race or Hispanic ethnicity) on having a claim in the past 12 months for each preventive service after successive control for number of primary care visits and other patient characteristics.Results: The final sample included 15,962 subjects. In age-adjusted analyses, minorities had statistically lower rates of claims for each of the 5 procedures. After controlling for number of primary care visits, the effect of minority status was slightly attenuated but remained statistically significant for receipt of each procedure. After adding low income, low educational level and supplementary insurance, health status, and year, minority status was significantly associated only with colorectal cancer screening (odds ratio [

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Section: Discussionsupporting

confidence: 91%

“…Racial and ethnic disparities in preventive services have been widely documented, particularly for African American and Hispanic patients, [1][2][3][4][5][6][7][8][9] but causes of these disparities remain incompletely understood. When disparities have been examined for specific visits, relatively few disparities in preventive care are observed.…”

mentioning

confidence: 99%

Impact of Primary Care Patient Visits on Racial and Ethnic Disparities in Preventive Care in the United States

Fiscella¹,

Holt²

2007

The Journal of the American Board of Family Medicine

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“…26 A recent study showed Asian men were significantly less likely to have received a prior sigmoidoscopy compared with white men. 27 Two convenience surveys of the largest US Asian subgroup, Chinese Americans, revealed low CRC screening rates: 11% and 16% reported FOBT in the past year; 22% reported FOBT in the past year with sigmoidoscopy in the past 5 years; and 30% reported sigmoidoscopy in the past 5 years. 28,29 To promote CRC screening among lower-income and less-acculturated Chinese Americans, we conducted a randomized controlled trial to evaluate a clinic-based, culturally appropriate program that promoted FOBT screening through a health educator.…”

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confidence: 99%

Promoting culturally appropriate colorectal cancer screening through a health educator

Taylor

Yasui

et al. 2006

Cancer

123

127

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BACKGROUND.Colorectal cancer (CRC) is a leading cause of cancer mortality in the US. Surveys reveal low CRC screening levels among Asians in the US, including Chinese Americans.METHODS.A randomized controlled trial was conducted with Chinese patients to evaluate a clinic‐based, culturally and linguistically appropriate intervention promoting fecal occult blood test (FOBT) screening. The multifaceted intervention included a trilingual and bicultural health educator, bilingual materials (a video, a motivational pamphlet, an informational pamphlet, and FOBT instructions), and three FOBT cards. Patients in the control arm received usual care. Our primary outcome measure was FOBT screening within 6 months after randomization. The proportion of FOBT completion in the intervention and control arms was compared by using a chi‐square test, and logistic regression analysis was performed to adjust for the effects of sociodemographic variables and prior screening history. Potential effect modifications were also tested by using logistic regression models.RESULTS.Our intervention had a strong effect on FOBT completion (intervention group, 69.5%; control group, 27.6%), and the adjusted odds of FOBT slightly increased to over 6‐fold greater in the intervention arm compared with the control arm. No effect modification by age, gender, language, insurance, or prior FOBT was found.CONCLUSIONS.The authors' multifaceted, culturally appropriate intervention significantly increased FOBT screening in a group of low‐income and less‐acculturated minority patients. Given the large effect size, future research should determine the effective core component(s) that can increase CRC screening in both the general and minority populations. Cancer 2006. © 2006 American Cancer Society.

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“…54 Our work is consistent with a large national study that found fewer racial or income disparities in the quality of more routine and less intensive care processes once access barriers, like lack of insurance coverage, had been surmounted. [55][56][57] This study has several limitations. Survey data are subjective and affected by recall bias.…”

Section: Discussionmentioning

confidence: 96%

Quality of Care for Work-Associated Carpal Tunnel Syndrome

Nuckols

Conlon

Robbins

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

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Objective-To evaluate the quality of care provided to individuals with workers' compensation claims related to CTS and identify patient characteristics associated with receiving better care.Methods-We recruited subjects with new claims for CTS from 30 occupational clinics affiliated with Kaiser Permanente Northern California. We applied 45 process-oriented quality measures to 477 subjects' medical records, and performed multivariate logistic regression to identify patient characteristics associated with quality. Craig Conlon served as site principal investigator, overseeing data collection and providing input on issues related to care for CTS and workers' compensation. Michael Robbins oversaw statistical analyses. Michael Dworsky provided input on issues related to workers' compensation and assisted with data analysis and interpretation. Julie Lai and Rachana performed statistical analyses. Carol P. Roth assisted with the design of and oversaw the completion of the medical record reviews. Seth Seabury and John Adams contributed to study design, analytical methods, and interpretation of results. Barbara Levitan assisted with the design of and oversaw the completion of the surveys. Author Access to Data: All authors had access to study data. Payment for the Work: All authors received payment for the work, except John Adams, who donated his time. Results Potential Conflicts of Interest:The authors have no other potential conflicts of interest to report. Conclusions-Care processes for work-associated CTS frequently adhered to quality measures. Clinical factors were more strongly associated with quality than demographic and socioeconomic ones. HHS Public Access

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Variation in Quality of Men??s Health Care by Race/Ethnicity and Social Class

Cited by 36 publications

References 25 publications

Impact of Primary Care Patient Visits on Racial and Ethnic Disparities in Preventive Care in the United States

Impact of Primary Care Patient Visits on Racial and Ethnic Disparities in Preventive Care in the United States

Promoting culturally appropriate colorectal cancer screening through a health educator

Quality of Care for Work-Associated Carpal Tunnel Syndrome

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