Minority Health Archive

Changes in Racial Differences in Use of Medical Procedures and Diagnostic Tests Among Elderly Persons: 1986–1997

Escarce, José J. and McGuire, Thomas G. (2004) Changes in Racial Differences in Use of Medical Procedures and Diagnostic Tests Among Elderly Persons: 1986–1997. American Journal of Public Health, 94 (10). pp. 1795-1799. ISSN 0090-0036

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Abstract

Objectives. We used 1997 Medicare data to replicate an earlier study that used data from 1986 to examine racial differences in usage of specific medical procedures or tests among elderly persons. Methods. We used 1997 physician claims data to obtain a random sample of 5% of Medicare beneficiaries aged 65 years and older. We used this sample to study 30 procedures and tests that were analyzed in the 1986 study, as well as several new procedures that became more widely used in the early 1990s. Results. Racial differences remain in the rates of use of these procedures; in general, Blacks have lower rates of use than do Whites. Between 1986 and 1997, the ratio of White to Black use moved in favor of Blacks for all but 4 of the established procedures studied. Conclusions. The White–Black gap in health care use under Medicare is narrowing.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: racial differences; Medicare data; medical procedures or tests among elderly persons; White–Black gap in health care
Subjects: Health > Health Equity > Access To Healthcare
Health
Research
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Depositing User: Users 141 not found.
Date Deposited: 21 Apr 2008
Last Modified: 30 Jun 2011 10:24
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/973

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