Sociodemographic disparities in epilepsy care: Results from the Houston/New York City health care use and outcomes study
| Autor: | Steven Karceski, Dale C. Hesdorffer, Charles E. Begley, Michael Newmark, David R. Lairson, Nora Hernandez, Tina Shih, Rituparna Basu, Allen Hauser, Thomas F. Reynolds, Stephanie Dubinsky, Forbes Barnwell |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Gerontology Population New York MEDLINE Ethnic group Logistic regression Health Services Accessibility Interviews as Topic Health care Confidence Intervals Ethnicity Odds Ratio Humans Medicine Healthcare Disparities education Retrospective Studies education.field_of_study Epilepsy business.industry Retrospective cohort study Odds ratio Texas Community Mental Health Services Confidence interval Socioeconomic Factors Neurology Health Care Surveys Female Neurology (clinical) business Demography |
| Zdroj: | Epilepsia. 50:1040-1050 |
| ISSN: | 1528-1167 0013-9580 |
| DOI: | 10.1111/j.1528-1167.2008.01898.x |
| Popis: | Summary Purpose: The purpose of this study was to identify sociodemographic disparities in health care use among epilepsy patients receiving care at different sites and the extent to which the disparities persisted after adjusting for patient characteristics and site of care. Methods: Three months of health care use data were obtained from baseline interviews of approximately 560 patients at four sites. One-half of the patients were from a Houston site and two NYC sites that serve predominantly low-income, minority, publicly insured, or uninsured patients. The other half were at the remaining site in Houston that serves a more balanced racial/ethnic and higher sociodemographic population. Differences in general and specialist visits, hospital emergency room (ER) care, and hospitalizations were associated with race/ethnicity, income, and coverage. Logistic regression was used to assess the extent to which the differences persisted when adjusting for individual patient characteristics and site of care. Results: Compared to whites, blacks and Hispanics had higher rates of generalist visits [odds ratio (OR) = 5.3 and 4.9, p |
| Databáze: | OpenAIRE |
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