Do black elderly medicare patients receive fewer services ? An analysis of procedure use for selected patient conditions.
Blacks have been shown to undergo fewer medical procedures than Whites, particularly for coronary disease.
This article uses logistic regression to analyze racial disparities in procedure use among older Medicare enrollees admitted for coronary artery disease, stroke, hip fracture, and colon and breast cancer.
Medicare enrollment and claims data are used to identify hospitalizations and procedure use, and to measure other individual-level information.
No racial differences in procedure use are found for hip fracture and colon/breast cancer patients, life-threatening diseases for which basic approaches to evaluation and treatment are widely accepted.
Substantial differences, however, are found for coronary disease and stroke, two illnesses whose treatment involves substantially greater discretion.
Mots-clés Pascal : Cardiopathie coronaire, Soin, Service santé, Ethnie, Négroïde, Evaluation, Vieillard, Homme, Etude comparative, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Coronary heart disease, Care, Health service, Ethnic group, Negroid, Evaluation, Elderly, Human, Comparative study, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0511457
Code Inist : 002B30A01C. Création : 23/03/1999.