Racial/Ethnic Disparities in Primary Care Quality Among Type 2 Diabetes Patients, Medical Expenditure Panel Survey, 2012

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Hu, Ruwei ; Shi, Leiyu ; Liang, Hailun ; Haile, Geraldine Pierre ; Lee, De-Chih
• Description:
  Introduction ; Racial and ethnic disparities exist in diabetes prevalence, access to diabetes care, diabetes-related complications and mortality rates, and the quality of diabetes care among Americans. We explored racial and ethnic disparities in primary care quality among Americans with type 2 diabetes. ; Methods ; We analyzed data on adults with type 2 diabetes derived from the household component of the 2012 Medical Expenditure Panel Survey. Multiple regression and multivariate logistic regressions were used to examine the association between race/ethnicity and primary care attributes related to first contact, longitudinality, comprehensiveness, and coordination, and clusters of confounding factors were added sequentially. ; Results ; Preliminary findings indicated differences in primary care quality between racial/ethnic minorities and whites across measures of first contact, longitudinality, comprehensiveness, and coordination. After controlling for confounding factors, these differences were no longer apparent; all racial/ethnic categories showed similar rates of primary care quality according to the 4 primary care domains of interest in the study. ; Conclusion ; Results indicate equitable primary care quality for type 2 diabetes patients across 4 key domains of primary care after controlling for socioeconomic characteristics. Additional research is necessary to support these findings, particularly when considering smaller racial/ethnic groups and investigating outcomes related to diabetes.
• Subjects:
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Demography
  • Diabetes Mellitus, Type 2
  • Female
  • Health Care Surveys
  • Health Expenditures
  • Healthcare Disparities
  More +
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.160113
• ISSN:
  1545-1151
• Pubmed ID:
  27490365
• Pubmed Central ID:
  PMC4975177
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Volume:
  13
• Download URL:
  https://stacks.cdc.gov/view/cdc/40971/cdc_40971_DS1.pdf
• File Type:
  [PDF - 561.93 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:e0bf944fa4cd1151baabedaf571bb5e3cfc88a7e05c3638e8b38cf2ef03f0c121710ec2a399211b23a511d892bf16a600e322a3571f854b465d177b184d815be