04 May 2010 ~ Comments Off on Pathways to access: health insurance, the health care delivery system, and racial/ethnic disparities, 1996-1999

Pathways to access: health insurance, the health care delivery system, and racial/ethnic disparities, 1996-1999

We examine the roles that insurance coverage, the delivery system, and external factors play in explaining persistent disparities in access among racial and ethnic groups of all ages. Using data from the 1996-1999 Medical Expenditure Panel Surveys and regression-based decomposition methods, we find that our measures of health care system capacity explain little and that […]

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04 May 2010 ~ Comments Off on Ethnic matching of clients and clinicians and use of mental health services by ethnic minority clients

Ethnic matching of clients and clinicians and use of mental health services by ethnic minority clients

OBJECTIVES: Research in the United States has indicated that matching clients from a minority group with clinicians from the same ethnic background increases use of community mental health services and reduces use of emergency services. This study assessed the effects of matching clients from a non-English-speaking background with bilingual, bicultural clinicians in a mental health […]

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04 May 2010 ~ Comments Off on Treatment seeking for acute myocardial infarction symptoms: differences in delay across sex and race

Treatment seeking for acute myocardial infarction symptoms: differences in delay across sex and race

BACKGROUND: Patients experiencing an acute myocardial infarction are known to delay seeking treatment between 2 and 4 hours. This delay is problematic because individuals who receive treatment 2 or more hours after the onset of symptoms are less likely to benefit from emergent reperfusion techniques. Persons most likely to delay seeking treatment for an acute […]

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04 May 2010 ~ Comments Off on Factors associated with use of preventive dental and health services among U.S. adolescents

Factors associated with use of preventive dental and health services among U.S. adolescents

PURPOSE: To examine adolescents’ use of preventive medical and dental services and its relationship to demographic characteristics and other variables reflecting access to and need for care. METHODS: Self- and parent-reported data from a sample of 5644 adolescents aged 11 to 21 years from the National Longitudinal Study of Adolescent Health (Add Health). Variables studied […]

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04 May 2010 ~ Comments Off on Racial and socioeconomic aspects of myocardial infarction recovery: studying confounds

Racial and socioeconomic aspects of myocardial infarction recovery: studying confounds

Cardiovascular disease rates illustrate the excess morbidity and mortality associated with race and social class. However, while prevalence and deaths from heart disease are greater among black and lower socioeconomic status (SES) populations, researchers rarely consider possible confounds between race and SES. In a longitudinal study of 246 older myocardial infarction (MI) patients, differences appeared […]

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04 May 2010 ~ Comments Off on Race and preventive services delivery among black patients and white patients seen in primary care

Race and preventive services delivery among black patients and white patients seen in primary care

BACKGROUND: Numerous studies have documented racial disparities in delivery of health care treatment services, but there is little information to determine whether similar disparities exist in the delivery of preventive services. OBJECTIVE: To determine if disparities exist in preventive service delivery to non-Hispanic white patients and black patients in primary care. RESEARCH DESIGN: Multimethod study […]

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04 May 2010 ~ Comments Off on Cultural relevancy of a diabetes prevention nutrition program for African American women

Cultural relevancy of a diabetes prevention nutrition program for African American women

Diabetes among African American women is a pressing health concern, yet there are few evaluated culturally relevant prevention programs for this population. This article describes a case study of the Eat Well Live Well Nutrition Program, a community-based, culturally specific diabetes prevention nutrition program for African American women. The stages of change theory and principles […]

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04 May 2010 ~ Comments Off on Racial differences in the use of invasive cardiovascular procedures in the Department of Veterans Affairs medical system.[see comment]

Racial differences in the use of invasive cardiovascular procedures in the Department of Veterans Affairs medical system.[see comment]

BACKGROUND. Previous studies have found racial differences in the use of invasive cardiovascular procedures, which may be due in part to the greater financial incentives to perform such procedures in white patients. In Department of Veterans Affairs hospitals, direct financial incentives affecting use of the procedures are minimized for both patients and physicians. METHODS. We […]

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04 May 2010 ~ Comments Off on Racial and ethnic differences in access to and use of health care services, 1977 to 1996

Racial and ethnic differences in access to and use of health care services, 1977 to 1996

This article focuses on racial and ethnic disparities in health care, describing both absolute differences and relative changes in access to care and the use of health services among whites, blacks, and Hispanics over the past two decades. Using data from a series of three nationally representative medical expenditure surveys, the authors present descriptive statistics […]

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04 May 2010 ~ Comments Off on Glycemic control in a sample of black and white clinic patients with NIDDM

Glycemic control in a sample of black and white clinic patients with NIDDM

OBJECTIVE–To compare glycemic control of black and white patients under treatment for non-insulin-dependent diabetes mellitus (NIDDM). RESEARCH DESIGN AND METHODS–Medical records of patients with NIDDM were reviewed at 19 of 24 clinics or health centers in a specified area of north central Florida. Data were abstracted from the charts of all non-Hispanic black (n = […]

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