16 June 2011 ~ 0 Comments

Auditing Access to Specialty Care for Children with Public Insurance

The authors find great disparities in access to health care services between children with private medical insurance and children on Medicaid and/or CHIP. The study looks at various specialty clinics and found that specialty providers are less likely to see and treat children with Medicaid that children on private insurance. Please see the study at […]

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04 May 2010 ~ Comments Off on Cultural competency as it intersects with racial/ethnic, linguistic, and class disparities in managed healthcare organizations

Cultural competency as it intersects with racial/ethnic, linguistic, and class disparities in managed healthcare organizations

Culture in and of itself is not the most central variable in the patient-provider encounter. The effect of culture is most pronounced when it intersects with low education, low literacy skills, limited proficiency in English, culture-specific values regarding the authority of the physician, and poor assertiveness skills. These dimensions require attention in Medicaid managed care […]

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04 May 2010 ~ Comments Off on Determinants of health care use by children in rural western North Carolina: results from the Mountain Accessibility Project

Determinants of health care use by children in rural western North Carolina: results from the Mountain Accessibility Project

OBJECTIVE: To assess determinants of health care visits among children in a 12-county region of western North Carolina representative of rural areas in the United States. METHODS: Households were randomly selected for surveys of household characteristics, health status, and health care use. Surveys were conducted June 1999 to January 2000 and were stratified for children […]

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04 May 2010 ~ Comments Off on Underuse of controller medications among children with persistent asthma in the Ohio medicaid population: evolving differences with new medications

Underuse of controller medications among children with persistent asthma in the Ohio medicaid population: evolving differences with new medications

BACKGROUND: Despite innovations in asthma care, morbidity and mortality have increased significantly. Underuse of controller medications is a major contributor to increased morbidity and mortality. OBJECTIVE: To determine the extent of underuse of asthma controller medications among Ohio Medicaid children and to determine if there are racial differences in controller medication claims. METHODS: We conducted […]

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04 May 2010 ~ Comments Off on Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities

Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities

OBJECTIVE: To examine the extent to which racial/ethnic differences in Consumer Assessment of Health Plans Study (CAHPS) ratings and reports of Medicaid managed care can be attributed to differential treatment by the same health plans (within-plan differences) as opposed to racial/ethnic minorities being disproportionately enrolled in plans with lower quality of care (between-plan differences). DESIGN: […]

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04 May 2010 ~ Comments Off on Finding incident breast cancer cases through US claims data and a state cancer registry

Finding incident breast cancer cases through US claims data and a state cancer registry

OBJECTIVE: With the increasing availability of automated health-care data, new methods are available to screen large populations for the presence of cancer diagnoses. However, it is crucial to evaluate how completely incident cancer cases can be ascertained using these data sources. METHODS: We used capture-recapture techniques to estimate the total number of incident breast cancer […]

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04 May 2010 ~ Comments Off on Racial and ethnic differences in utilization of health services in patients with diabetes enrolled in medicaid

Racial and ethnic differences in utilization of health services in patients with diabetes enrolled in medicaid

We evaluated racial and ethnic differences in use of medical care between patients with diabetes enrolled in Medicaid and 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, and hospitalization rates […]

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04 May 2010 ~ Comments Off on Closing the gap: effect of diabetes case management on glycemic control among low-income ethnic minority populations: the California Medi-Cal type 2 diabetes study.[see comment]

Closing the gap: effect of diabetes case management on glycemic control among low-income ethnic minority populations: the California Medi-Cal type 2 diabetes study.[see comment]

OBJECTIVE: Disparities exist in the diabetes health status of ethnic minority and/or low-income populations relative to other groups. A primary objective of diabetes management is to improve glycemic control. The feasibility of implementing intensive diabetes case management in disparate populations remains largely untested. RESEARCH DESIGN AND METHODS: Clinical sites in three southern California counties serving […]

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04 May 2010 ~ Comments Off on Crohn’s disease: does race matter? The Mid-Atlantic Crohn’s Disease Study Group

Crohn’s disease: does race matter? The Mid-Atlantic Crohn’s Disease Study Group

OBJECTIVE: The severity of Crohn’s disease (CD) has been reported to be greater in blacks than in whites. This possible disparity may be due, in part, to differences between these groups in health care utilization and accessibility. To explore these issues, we conducted a multicenter survey of patients with CD. METHODS: One-hundred and forty-five blacks […]

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04 May 2010 ~ Comments Off on Mental health services utilization by maltreated children: research findings and recommendations

Mental health services utilization by maltreated children: research findings and recommendations

Many maltreated children have, or are at risk for, emotional and behavioral disorders. Some of these children need mental health services but do not receive them because of service delivery and use barriers. Knowledge about the factors related to service utilization is needed to increase access to and use of services. Studies on mental health […]

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