Literature DB >> 12721137

A decade of research on disparities in Medicare utilization: lessons for the health and health care of vulnerable men.

Marian E Gornick1.   

Abstract

Medicare research has shown that there are substantial disparities by race and socioeconomic status in use of services. In this article, I review past research and discuss how findings apply specifically to vulnerable men aged 65 years or older. Six lessons from this review are identified and illustrated here. Disparities in certain measures of health are growing; to reverse this trend, substantial efforts are needed, including dissemination of information about disparities as well as testing of hypotheses regarding underlying causes.

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Year:  2003        PMID: 12721137      PMCID: PMC1447832          DOI: 10.2105/ajph.93.5.753

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


  14 in total

1.  Racial differences in the treatment of early-stage lung cancer.

Authors:  P B Bach; L D Cramer; J L Warren; C B Begg
Journal:  N Engl J Med       Date:  1999-10-14       Impact factor: 91.245

2.  Overcoming the absence of socioeconomic data in medical records: validation and application of a census-based methodology.

Authors:  N Krieger
Journal:  Am J Public Health       Date:  1992-05       Impact factor: 9.308

3.  Racial differences in the use of invasive cardiovascular procedures in the Department of Veterans Affairs medical system.

Authors:  J Whittle; J Conigliaro; C B Good; R P Lofgren
Journal:  N Engl J Med       Date:  1993-08-26       Impact factor: 91.245

4.  Effects of race and income on mortality and use of services among Medicare beneficiaries.

Authors:  M E Gornick; P W Eggers; T W Reilly; R M Mentnech; L K Fitterman; L E Kucken; B C Vladeck
Journal:  N Engl J Med       Date:  1996-09-12       Impact factor: 91.245

5.  The effect of race and sex on physicians' recommendations for cardiac catheterization.

Authors:  K A Schulman; J A Berlin; W Harless; J F Kerner; S Sistrunk; B J Gersh; R Dubé; C K Taleghani; J E Burke; S Williams; J M Eisenberg; J J Escarce
Journal:  N Engl J Med       Date:  1999-02-25       Impact factor: 91.245

6.  Racial differences in the use of revascularization procedures after coronary angiography.

Authors:  J Z Ayanian; I S Udvarhelyi; C A Gatsonis; C L Pashos; A M Epstein
Journal:  JAMA       Date:  1993-05-26       Impact factor: 56.272

7.  The influence of race on the use of surgical procedures for treatment of peripheral vascular disease of the lower extremities.

Authors:  E Guadagnoli; J Z Ayanian; G Gibbons; B J McNeil; F W LoGerfo
Journal:  Arch Surg       Date:  1995-04

8.  Racial variation in cardiac procedure use and survival following acute myocardial infarction in the Department of Veterans Affairs.

Authors:  E D Peterson; S M Wright; J Daley; G E Thibault
Journal:  JAMA       Date:  1994-04-20       Impact factor: 56.272

9.  Racial inequalities in the use of procedures for patients with ischemic heart disease in Massachusetts.

Authors:  M B Wenneker; A M Epstein
Journal:  JAMA       Date:  1989-01-13       Impact factor: 56.272

Review 10.  Differences by race in the rates of procedures performed in hospitals for Medicare beneficiaries.

Authors:  A M McBean; M Gornick
Journal:  Health Care Financ Rev       Date:  1994
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  14 in total

1.  Changes in racial differences in use of medical procedures and diagnostic tests among elderly persons: 1986-1997.

Authors:  José J Escarce; Thomas G McGuire
Journal:  Am J Public Health       Date:  2004-10       Impact factor: 9.308

2.  Data and measurement issues in the analysis of health disparities.

Authors:  Linda T Bilheimer; Richard J Klein
Journal:  Health Serv Res       Date:  2010-08-02       Impact factor: 3.402

3.  Patient smoking cessation advice by health care providers: the role of ethnicity, socioeconomic status, and health.

Authors:  Thomas K Houston; Isabel C Scarinci; Sharina D Person; Paul G Greene
Journal:  Am J Public Health       Date:  2005-06       Impact factor: 9.308

4.  Ethnic differences in elders' home remedy use: sociostructural explanations.

Authors:  Joseph G Grzywacz; Thomas A Arcury; Ronny A Bell; Wei Lang; Cynthia K Suerken; Shannon L Smith; Sara A Quandt
Journal:  Am J Health Behav       Date:  2006 Jan-Feb

5.  A multi-institutional analysis of the socioeconomic determinants of breast reconstruction: a study of the National Comprehensive Cancer Network.

Authors:  Caprice K Christian; Joyce Niland; Stephen B Edge; Rebecca A Ottesen; Melissa E Hughes; Richard Theriault; John Wilson; Charles A Hergrueter; Jane C Weeks
Journal:  Ann Surg       Date:  2006-02       Impact factor: 12.969

6.  The contribution of health literacy to disparities in self-rated health status and preventive health behaviors in older adults.

Authors:  Ian M Bennett; Jing Chen; Jaleh S Soroui; Sheida White
Journal:  Ann Fam Med       Date:  2009 May-Jun       Impact factor: 5.166

7.  Trust in the health care system and the use of preventive health services by older black and white adults.

Authors:  Donald Musa; Richard Schulz; Roderick Harris; Myrna Silverman; Stephen B Thomas
Journal:  Am J Public Health       Date:  2008-10-15       Impact factor: 9.308

8.  Association between quality of care and the sociodemographic composition of physicians' patient panels: a repeat cross-sectional analysis.

Authors:  Emily R Carrier; Eric Schneider; Hoangmai H Pham; Peter B Bach
Journal:  J Gen Intern Med       Date:  2011-05-10       Impact factor: 5.128

9.  Preventing disparities in alcohol screening and brief intervention: the need to move beyond primary care.

Authors:  Nina Mulia; Laura A Schmidt; Yu Ye; Thomas K Greenfield
Journal:  Alcohol Clin Exp Res       Date:  2011-05-20       Impact factor: 3.455

10.  Physician gender differences in general and cancer-specific prevention attitudes and practices.

Authors:  Amelie G Ramirez; Kimberly A Wildes; Anna Nápoles-Springer; Eliseo Pérez-Stable; Greg Talavera; Elena Rios
Journal:  J Cancer Educ       Date:  2009       Impact factor: 2.037

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