Is there disparity in physician service use? A comparison of Hispanic and White Medicare beneficiaries.
This article investigates general physician service use by a national sample of non-Hispanic white and Hispanic Medicare beneficiaries age 65 and older. Using the health behavior model as the conceptual framework, Oaxaca decomposition multivariate analyses were conducted to examine predictors for co...
| Publicado en: | Health & Social Work Vol. 35; no. 3; pp. 181 - 191 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
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Oxford University Press / USA
Aug2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105077605&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105077605 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03607283 HSW jtl: Health & Social Work issn: 03607283 maglogo: N pubinfo: dt: Aug2010 vid: 35 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 105077605 2010746536 10.1093/hsw/35.3.181 NLM20853645 105077605 ppf: 181 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Is there disparity in physician service use? A comparison of Hispanic and White Medicare beneficiaries. aug: au: Chen L sug: subj: Hispanic Americans In Old Age Medical Care Utilization Physicians Utilization White Persons In Old Age Aged Chi Square Test Conceptual Framework Cross Sectional Studies Data Analysis Software Human Medicare Multivariate Analysis Office Visits Outpatients Race Factors Secondary Analysis Surveys Aged: 65+ years ab: This article investigates general physician service use by a national sample of non-Hispanic white and Hispanic Medicare beneficiaries age 65 and older. Using the health behavior model as the conceptual framework, Oaxaca decomposition multivariate analyses were conducted to examine predictors for contact with a physician and the number of physician's office visits. Racial and ethnic differences were found in the predictor variables of initial contact with the physician and volume of physician service use. Besides needs factors, poverty level and having Medicaid were also significant predictors. Oaxaca decomposition analysis indicated that Hispanic beneficiaries' being less likely to make the initial physician contact could not be explained only by racial and ethnic differences. Although findings point to the equitable and nondiscriminatory treatment of Hispanic beneficiaries already using physician services, there is variance in the entry point of contact with a general physician for this minority group. Implications for social work are discussed. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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