The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Racial Disparities in the Quality of Care for Enrollees in Medicare Managed Care
Open accessAbstract
CONTEXT: Substantial racial disparities in the use of some health services exist; however, much less is known about racial disparities in the quality of care. OBJECTIVE: To assess racial disparities in the quality of care for enrollees in Medicare managed care health plans. DESIGN AND SETTING: Observational study, using the 1998 Health Plan Employer Data and Information Set (HEDIS), which summarized performance in calendar year 1997 for 4 measures of quality of care (breast cancer screening, eye examinations for patients with diabetes, beta-blocker use after myocardial infarction, and follow-up after hospitalization for mental illness). PARTICIPANTS: A total of 305 574 (7.7%) beneficiaries who were enrolled in Medicare managed care health plans had data for at least 1 of the 4 HEDIS measures and were aged 65 years or older. MAIN OUTCOME MEASURES: Rates of breast cancer screening, eye examinations for patients with diabetes, beta-blocker use after myocardial infarction, and follow-up after hospitalization for mental illness. RESULTS: Blacks were less likely than whites to receive breast cancer screening (62.9% vs 70.9%; P<.001), eye examinations for patients with diabetes (43.6% vs 50.4%; P =.02), beta-blocker medication after myocardial infarction (64.1% vs 73.8%; P<.005), and follow-up after hospitalization for mental illness (33.2 vs 54.0%; P<.001). After adjustment for potential confounding factors, racial disparities were still statistically significant for eye examinations for patients with diabetes, beta-blocker use after myocardial infarction, and follow-up after hospitalization for mental illness. CONCLUSION: Among Medicare beneficiaries enrolled in managed care health plans, blacks received poorer quality of care than whites.
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Cites
The Effect of Race and Sex on Physicians' Recommendations for Cardiac Catheterization
Schulman, K. A., Berlin, J. A., Harless, W., Kerner, J. F., Sistrunk, S., Gersh, B. J., Dubé, R., Taleghani, C. K., Burke, J. E., Williams, S., et al. (1999) · New England Journal of Medicine · doi:10.1056/nejm199902253400806 · Cited by 1,934
Inequality in Quality: Addressing Socioeconomic, Racial, and Ethnic Disparities in Health Care
Fiscella, K., Franks, P., Gold, M. R., & Clancy, C. M. (2000) · JAMA · doi:10.1001/jama.283.19.2579 · Cited by 1,183
The Role of Black and Hispanic Physicians in Providing Health Care for Underserved Populations
Komaromy, M., Grumbach, K., Drake, M., Vranizan, K., Lurie, N., Keane, D., & Bindman, A. B. (1996) · New England Journal of Medicine · doi:10.1056/nejm199605163342006 · Cited by 915
How Good Is the Quality of Health Care in the United States?
Schuster, M. A., McGlynn, E. A., & Brook, R. H. (1998) · The Milbank Quarterly · doi:10.1111/1468-0009.00105 · Cited by 908
Effects of Race and Income on Mortality and Use of Services among Medicare Beneficiaries
Gornick, M. E., Eggers, P. W., Reilly, T. W., Mentnech, R. M., Fitterman, L. K., Kucken, L. E., & Vladeck, B. C. (1996) · New England Journal of Medicine · doi:10.1056/nejm199609123351106 · Cited by 808
The Relation between Health Insurance Coverage and Clinical Outcomes among Women with Breast Cancer
Ayanian, J. Z., Kohler, B. A., Abe, T., & Epstein, A. M. (1993) · New England Journal of Medicine · doi:10.1056/nejm199307293290507 · Cited by 681
Quality of Medical Care Delivered to Medicare Beneficiaries: A Profile at State and National Levels
Jencks, S. F., Cuerdon, T., Burwen, D. R., Fleming, B., Houck, P. M., Kussmaul, A. E., Nilasena, D. S., Ordin, D. L., & Arday, D. R. (2000) · JAMA · doi:10.1001/jama.284.13.1670 · Cited by 647
Effects of Health Insurance and Race on Early Detection of Cancer
Roetzheim, R. G., Pal, N., Tennant, C., Voti, L., Ayanian, J. Z., Schwabe, A., & Krischer, J. P. (1999) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/91.16.1409 · Cited by 480
Physician Race and Care of Minority and Medically Indigent Patients
Moy, E. (1995) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1995.03520430051038 · Cited by 451
Racial Differences in the Use of Revascularization Procedures After Coronary Angiography
Ayanian, J. Z. (1993) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1993.03500200056033 · Cited by 409
Cited by
Antman, E. M., Anbe, D. T., Armstrong, P. W., Bates, E. R., Green, L. A., Hand, M., Hochman, J. S., Krumholz, H. M., Kushner, F. G., Lamas, G. A., et al. (2004) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2004.07.002 · Cited by 1,020
Primary Care Physicians Who Treat Blacks and Whites
Bach, P. B., Pham, H. H., Schrag, D., Tate, R. C., & Hargraves, J. L. (2004) · New England Journal of Medicine · doi:10.1056/nejmsa040609 · Cited by 986
Ethnic disparities in diabetic complications in an insured population
Karter, A. J. (2002) · JAMA · doi:10.1001/jama.287.19.2519 · Cited by 840
Gruber, J., Prinstein, M. J., Clark, L. A., Rottenberg, J., Abramowitz, J. S., Albano, A. M., Aldao, A., Borelli, J. L., Chung, T., Davila, J., et al. (2021) · American Psychologist · doi:10.1037/amp0000707 · Cited by 697
Ethnicity and Breast Cancer: Factors Influencing Differences in Incidence and Outcome
Chlebowski, R. T., Chen, Z., Anderson, G. L., Rohan, T., Aragaki, A., Lane, D., Dolan, N. C., Paskett, E. D., McTiernan, A., Hubbell, F. A., et al. (2005) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/dji064 · Cited by 656
Metadata
- Authors
- Schneider, E. C.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2002-03-13
- Volume
- 287
- Issue
- 10
- Pages
- 1288
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2079287729
- Cited by
- 532
- References
- 28
- FWCI
- 54.58
- Type
- journal article
- Language
- en
- Open access
- green
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