Race/Ethnicity and overuse of care: a systematic review

The Milbank Quarterly
Nancy R Kressin, Peter W Groeneveld

Abstract

POLICY POINTS: Racial/ethnic differences in the overuse of care (specifically, unneeded care that does not improve patients' outcomes) have received little scholarly attention. Our systematic review of the literature (59 studies) found that the overuse of care is not invariably associated with race/ethnicity, but when it was, a substantial proportion of studies found greater overuse of care among white patients. The absence of established subject terms in PubMed for the overuse of care or inappropriate care impedes the ability of researchers or policymakers to synthesize prior scientific or policy efforts. The literature on disparities in health care has examined the contrast between white patients receiving needed care, compared with racial/ethnic minority patients not receiving needed care. Racial/ethnic differences in the overuse of care, that is, unneeded care that does not improve patients' outcomes, have received less attention. We systematically reviewed the literature regarding race/ethnicity and the overuse of care. We searched the Medline database for US studies that included at least 2 racial/ethnic groups and that examined the association between race/ethnicity and the overuse of procedures, diagnostic (care) or the...Continue Reading

References

Dec 1, 1986·American Journal of Public Health·C MaynardT Pullum
Feb 19, 1998·The New England Journal of Medicine·P W NewacheckM Pearl
Mar 27, 1998·JAMA : the Journal of the American Medical Association·A C NyquistM A Sande
Sep 28, 1998·JAMA : the Journal of the American Medical Association·M R Chassin, R W Galvin
Dec 11, 1985·International Journal of Technology Assessment in Health Care·R H BrookR E Park
Aug 3, 2002·Journal of the National Medical Association·Alan Nelson
Jan 25, 2003·The American Journal of the Medical Sciences·Keri K HallMohan Nadkarni
Feb 15, 2003·JAMA : the Journal of the American Medical Association·Michael A SteinmanRalph Gonzales
Jun 11, 2003·Journal of General Internal Medicine·Robert H HarrisRalph Gonzales
Jan 31, 2004·The Journal of Emergency Medicine·David M IsaacsChao Sun
Apr 22, 2004·The Annals of Pharmacotherapy·Joshua M ThorpeTroy K Trygstad
Jul 1, 2004·The Journal of the American Board of Family Practice·Olivier T Rutschmann, Marisa Elena Domino
Aug 6, 2004·The New England Journal of Medicine·Peter B BachJ Lee Hargraves
May 10, 2005·The Journal of Antimicrobial Chemotherapy·Charlesnika T EvansFrances M Weaver
Jun 29, 2005·Archives of Internal Medicine·Jun Ma, Randall S Stafford
Aug 20, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Steven J KatzMonica Morrow
Nov 10, 2005·JAMA : the Journal of the American Medical Association·Jeffrey A LinderJonathan A Finkelstein
Mar 4, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ralph GonzalesUNKNOWN IMPAACT Trial Investigators
May 18, 2006·American Journal of Preventive Medicine·Dan MerensteinNeil R Powe
May 23, 2006·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Marion E HareRonald I Shorr
Jul 1, 2006·Journal of General Internal Medicine·Peter W GroeneveldJudy E Shea
Nov 2, 2006·American Journal of Public Health·Amy M KilbourneMichael J Fine
Nov 16, 2006·JAMA : the Journal of the American Medical Association·Louise C WalterBadrinath R Konety
Feb 14, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Stefan G VanderweilCarlos A Camargo
Apr 26, 2008·BMJ : British Medical Journal·Gordon H GuyattUNKNOWN GRADE Working Group
Apr 29, 2008·Arthritis and Rheumatism·Peter W GroeneveldSaid A Ibrahim
Jul 17, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Stefan G VanderweilCarlos A Camargo
Sep 18, 2008·The American Journal of Gastroenterology·Sameer D SainiPhilip Schoenfeld
Jan 10, 2009·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·James N KirkpatrickSusan E Wiegers
Jan 24, 2009·The American Journal of Geriatric Pharmacotherapy·Claudene J GeorgeJoseph S Ross
Jan 27, 2009·Health Services Research·Salomeh Keyhani, Albert L Siu
Mar 3, 2009·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Steven A FarmerPeter W Groeneveld

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Citations

Jan 21, 2016·Annual Review of Public Health·Kevin Fiscella, Mechelle R Sanders
Aug 9, 2016·International Journal of Pediatric Otorhinolaryngology·Carrie L NiemanEmily F Boss
Aug 27, 2016·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Rebekah H NaglerLauren S Gray
Sep 15, 2016·Health Services Research·Wendy Yi Xu, Jeah Kyoungrae Jung
Apr 19, 2018·Medical Care·Teresa JanevicElizabeth A Howell
Feb 22, 2017·Health Services Research·Carrie H CollaMeredith B Rosenthal
Dec 5, 2019·Journal of General Internal Medicine·Nancy L SchoenbornCraig E Pollack
Nov 13, 2020·American Journal of Public Health·Dora L Hughes, Phyllis D Meadows
Feb 10, 2021·Radiology·Stephen WaiteDaria Colombo
Feb 10, 2021·Seminars in Fetal & Neonatal Medicine·Vicky ReichmanMichelle-Marie Peña

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