Details

Autor(en) / Beteiligte

• Vargas, Roberto B
• Davis, Roger B
• McCarthy, Ellen P
• Li, Donglin
• Iezzoni, Lisa I

Titel

Racial and Ethnic Differences in Utilitzation of Health Services in Patients with Diabetes Enrolled in Medicaid

Ist Teil von

• Journal of health care for the poor and underserved, 2004-11, Vol.15 (4), p.562-575

Erscheinungsjahr

2004

Quelle

Sociological Abstracts

Beschreibungen/Notizen

• We evaluated racial & ethnic differences in use of medical care between patients with diabetes enrolled in Medicaid & explored whether differences varied by state Medicaid program. Using data from 137,006 patients we created a multivariable Poisson regression model to examine the effect of race on ambulatory care visits, emergency ward visits, & hospitalization rates for patients with diabetes mellitus enrolled in three state Medicaid programs. We found significant differences in service use between groups, which varied depending on state. For example, black patients compared with whites had significantly fewer outpatient visits but more hospitalizations in New Jersey; by contrast, blacks had higher outpatient visit rates & lower hospitalization rates in Georgia. Racial & ethnic differences in health service use among Medicaid enrollees were not consistent across states, suggesting that local factors, including varied Medicaid policies, may affect racial & ethnic differences in use of health care services. 4 Tables, 1 Figure. [Reprinted by permission of Sage Publications Inc., copyright 2004.]