Abstract
Objective. To examine the availability of health care provider offices and facilities in predominantly White, minority, and integrated primary care service areas (PCSA). Methods. National data from the American Community Survey and InfoUSA, linked at the PCSA- level, for 2005 (N=7,109) and 2014 (N=7,142). Associations between racial composition of PCSAs and numbers of health care offices and facilities were examined using multiple regression models. Results. After adjustment for PCSA socio- demographic characteristics, predominantly minority PCSAs had fewer diagnostic imaging centers and offices for physicians, mental health providers, dentists, and other health practitioners than White PCSAs (Adj IRR range: 0.68- 0.80, all p<.01). Availability was also lower for integrated PCSAs, but reductions were smaller and involved fewer service types (Adj IRR range: 0.85- 0.91, all p<.05). Conclusion. Minority and integrated communities have fewer provider offices and facilities for important health services, which may contribute to the persistent racial/ ethnic disparities in health care access and use.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 986-1000 |
| Number of pages | 15 |
| Journal | Journal of health care for the poor and underserved |
| Volume | 30 |
| Issue number | 3 |
| DOIs | |
| State | Published - Aug 2019 |
Fingerprint
Keywords
- Health care disparity
- Minority community
- Provider availability
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Availability of health care provider offices and facilities in minority and integrated communities in the U.S. / Chan, Kitty S.; Gaskin, Darrell J.; McCleary, Rachael R.; Thorpe, Roland J.
In: Journal of health care for the poor and underserved, Vol. 30, No. 3, 08.2019, p. 986-1000.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Availability of health care provider offices and facilities in minority and integrated communities in the U.S.
AU - Chan, Kitty S.
AU - Gaskin, Darrell J.
AU - McCleary, Rachael R.
AU - Thorpe, Roland J.
PY - 2019/8
Y1 - 2019/8
N2 - Objective. To examine the availability of health care provider offices and facilities in predominantly White, minority, and integrated primary care service areas (PCSA). Methods. National data from the American Community Survey and InfoUSA, linked at the PCSA- level, for 2005 (N=7,109) and 2014 (N=7,142). Associations between racial composition of PCSAs and numbers of health care offices and facilities were examined using multiple regression models. Results. After adjustment for PCSA socio- demographic characteristics, predominantly minority PCSAs had fewer diagnostic imaging centers and offices for physicians, mental health providers, dentists, and other health practitioners than White PCSAs (Adj IRR range: 0.68- 0.80, all p<.01). Availability was also lower for integrated PCSAs, but reductions were smaller and involved fewer service types (Adj IRR range: 0.85- 0.91, all p<.05). Conclusion. Minority and integrated communities have fewer provider offices and facilities for important health services, which may contribute to the persistent racial/ ethnic disparities in health care access and use.
AB - Objective. To examine the availability of health care provider offices and facilities in predominantly White, minority, and integrated primary care service areas (PCSA). Methods. National data from the American Community Survey and InfoUSA, linked at the PCSA- level, for 2005 (N=7,109) and 2014 (N=7,142). Associations between racial composition of PCSAs and numbers of health care offices and facilities were examined using multiple regression models. Results. After adjustment for PCSA socio- demographic characteristics, predominantly minority PCSAs had fewer diagnostic imaging centers and offices for physicians, mental health providers, dentists, and other health practitioners than White PCSAs (Adj IRR range: 0.68- 0.80, all p<.01). Availability was also lower for integrated PCSAs, but reductions were smaller and involved fewer service types (Adj IRR range: 0.85- 0.91, all p<.05). Conclusion. Minority and integrated communities have fewer provider offices and facilities for important health services, which may contribute to the persistent racial/ ethnic disparities in health care access and use.
KW - Health care disparity
KW - Minority community
KW - Provider availability
UR - http://www.scopus.com/inward/record.url?scp=85072149779&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85072149779&partnerID=8YFLogxK
U2 - 10.1353/hpu.2019.0069
DO - 10.1353/hpu.2019.0069
M3 - Article
C2 - 31422984
AN - SCOPUS:85072149779
VL - 30
SP - 986
EP - 1000
JO - Journal of Health Care for the Poor and Underserved
JF - Journal of Health Care for the Poor and Underserved
SN - 1049-2089
IS - 3
ER -