Use Of Geocoding In Managed Care Settings To Identify Quality Disparities
| Autor: | José J. Escarce, Steven L. Wickstrom, Thomas S. Rector, Allen Fremont, Arlene S. Bierman, Mona Shah, Chloe E. Bird, Thomas Horstman |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Geography
business.industry Health Policy Managed Care Programs Racial Groups Ethnic group Social class Health equity Social Class Social Justice Environmental health Geocoding Ethnicity Humans Managed care Medicine Tracking (education) business Socioeconomic status Quality Indicators Health Care Health care quality |
| Zdroj: | Health Affairs. 24:516-526 |
| ISSN: | 1544-5208 0278-2715 |
| DOI: | 10.1377/hlthaff.24.2.516 |
| Popis: | Tracking quality-of-care measures is essential for improving care, particularly for vulnerable populations. Although managed care plans routinely track quality measures, few examine whether their performance differs by enrollee race/ethnicity or socioeconomic status (SES), in part because plans do not collect that information. We show that plans can begin examining and targeting potential disparities using indirect measures of enrollee race/ethnicity and SES based on geocoding. Using such measures, we demonstrate disparities within both Medicare+Choice and commercial plans on Health Plan Employer Data and Information Set (HEDIS) measures of diabetes and cardiovascular care, including instances in which race/ethnicity and SES have distinct effects. |
| Databáze: | OpenAIRE |
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