Racial disparities in neurologic health care access and utilization in the United States.

Neurology
Altaf SaadiNicte I Mejia

Abstract

To evaluate racial and ethnic differences in the utilization of neurologic care across a wide range of neurologic conditions in the United States. We analyzed nationally representative data from the 2006-2013 Medical Expenditure Panel Survey (MEPS), including information on demographics, patient-reported health conditions, neurology visit rates, and costs. Using diagnostic codes, we identified persons with any self-identified neurologic disorder except back pain, as well as 5 subgroups (Parkinson disease, multiple sclerosis, headache, cerebrovascular disease, and epilepsy). To assess disparities in neurologic care utilization, we performed logistic regression analyses of outpatient department neurologic care visit rates and expenditures for each racial ethnic group controlling for age, sex, health status, socioeconomic characteristics, and geographic region of care. Of the 279,103 MEPS respondents, 16,936 (6%) self-reported a neurologic condition; 5,890 (2%) received a total of 13,685 outpatient neurology visits. Black participants were nearly 30% less likely to see an outpatient neurologist (odds ratio [OR] 0.72, confidence interval [CI] 0.64-0.81) relative to their white counterparts, even after adjustment for demographic, in...Continue Reading

References

Jul 21, 2006·The New England Journal of Medicine·Glenn Flores
Aug 18, 2006·Journal of the American Geriatrics Society·Catherine A SarkisianAlison A Moore
Jan 31, 2007·Neurology·D HirtzR Zalutsky
Jun 28, 2007·Journal of General Internal Medicine·Alexander R GreenMahzarin R Banaji
Oct 1, 1941·American Journal of Public Health and the Nation's Health·J V Deporte
Feb 28, 2008·Journal of General Internal Medicine·Somnath SahaSaid Ibrahim
Nov 26, 2008·Neurologic Clinics·Brian Trimble, Lewis B Morgenstern
Sep 8, 2009·Epilepsia·Jorge G BurneoUNKNOWN North American Commission of the International League Against Epilepsy
Feb 2, 2010·American Journal of Preventive Medicine·Eric M ChengAlex Y Chen
Mar 23, 2011·The Milbank Quarterly·Ateev MehrotraCaroline Y Lin
May 28, 2011·Stroke; a Journal of Cerebral Circulation·Salvador Cruz-FloresUNKNOWN Council on Quality of Care and Outcomes Research
Jun 15, 2011·Gender Medicine·Rachel Saunders-PullmanSusan B Bressman
Jul 20, 2011·Annals of Internal Medicine·Nancy D BerkmanKaren Crotty
Jul 24, 2012·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Matthew M KimballBrian L Hoh
Apr 12, 2013·Journal of General Internal Medicine·Elizabeth N ChapmanMolly Carnes
Apr 23, 2014·Journal of Cross-cultural Gerontology·Sarah PanNabila Dahodwala
May 24, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Nilay KumarNeetika Garg
Aug 16, 2016·International Journal of Health Services : Planning, Administration, Evaluation·Lyndonna MarrastSteffie Woolhandler

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Citations

Jan 24, 2019·Journal of Neuro-oncology·Jacob J MandelJohn F de Groot
May 11, 2019·Journal of the American Geriatrics Society·Vyjeyanthi S Periyakoil
Nov 12, 2019·Movement Disorders : Official Journal of the Movement Disorder Society·Rebecca M Gilbert, David G Standaert
Jan 11, 2020·Alzheimer's & Dementia : Translational Research & Clinical Interventions·Andrea L Gilmore-BykovskyiMegan Zuelsdorff
Jan 23, 2020·Multiple Sclerosis : Clinical and Laboratory Research·Lilyana Amezcua, Jacob L McCauley
Nov 2, 2019·Neurology. Neuroimmunology and Neuroinflammation·Kiel M TelesfordTimothy Vartanian
Jan 20, 2019·Neurology·Erika T Marulanda-LondoñoRoy Hamilton
Jan 31, 2018·Neurology·Altaf Saadi
Mar 9, 2018·Neurology. Clinical Practice·Ruth Ann MarrieLawrence Elliott
Feb 19, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jeremy S RuthbergTodd D Otteson
Feb 23, 2020·Neurology·Evan L ReynoldsBrian C Callaghan
Apr 21, 2020·Journal of Parkinson's Disease·Chunsong JiaTongwen Ou
Jul 10, 2020·PloS One·Dalia L RotsteinColleen J Maxwell
Aug 6, 2020·Journal of Evaluation in Clinical Practice·Chun Chieh LinLesli E Skolarus
May 18, 2020·Journal of Parkinson's Disease·Meagan BaileyDeborah A Hall
Apr 21, 2020·Clinical Orthopaedics and Related Research·Nicholas M RabahRandall E Marcus
Dec 24, 2019·Journal of Parkinson's Disease·Aaron Ben-JosephAlastair J Noyce
Oct 6, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Juan VazquezDaniel Jose Correa
Dec 18, 2020·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Marianny Nayara Paiva DantasIsabelle Ribeiro Barbosa
Nov 6, 2020·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Pavan A VaswaniNabila Dahodwala
Jan 9, 2021·Nature Reviews. Neurology·LaShyra Nolen, Nicte I Mejia
Feb 5, 2021·Science Translational Medicine·Rob PowersAdeeti V Ullal
Oct 16, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Connor J PeckDerek M Steinbacher
Dec 2, 2020·Parkinsonism & Related Disorders·Hélio A G Teive, Joohi Jimenez-Shahed
Nov 9, 2020·Journal of the National Medical Association·Larry Charleston
Mar 3, 2021·The Cerebellum·Brandon OubreAnoopum S Gupta
Apr 16, 2020·Epilepsy & Behavior : E&B·Magdalena SzaflarskiJerzy P Szaflarski
Feb 26, 2021·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Meagan BaileyDeborah A Hall
Apr 28, 2021·Parkinsonism & Related Disorders·Tao XieBrian C-H Chiu
May 5, 2021·Movement Disorders : Official Journal of the Movement Disorder Society·Gregory D ScottJoseph F Quinn
May 9, 2021·Translational Behavioral Medicine·Tanya M SpruillOrrin Devinsky
Jun 21, 2021·Multiple Sclerosis and Related Disorders·Bruce A C CreeUNKNOWN OPERA I and OPERA II clinical investigators
Jul 27, 2021·Journal of Parkinson's Disease·Muhammed Shahriar ZamanMary Ann McColl
Jul 28, 2021·Journal of the National Medical Association·Kenyon M Railey, Andrew R Spector
Jul 9, 2021·Annals of Neurology·Allison WillisJustin C McArthur
May 15, 2021·Neurology·Jaime M Hatcher-MartinRiley M Bove
Aug 17, 2021·Current Anesthesiology Reports·M Angele Theard
Aug 18, 2021·World Neurosurgery·Ryan ChiuFady T Charbel

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