Racial/ethnic differences in diabetes care for older veterans: accounting for dual health system use changes conclusions

Medical Care
Jewell H HalanychSusan Frayne

Abstract

Veterans Health Administration (VHA) databases are used extensively to study racial/ethnic disparities; however, these databases may not capture all care received by VHA patients. We examined the extent to which accounting for non-VHA care changed conclusions about racial/ethnic disparities for VHA patients with diabetes. Using a cross-sectional observational study, we analyzed a national sample of noninstitutionalized Hispanic (n = 5931), black (n = 24,670), and white (n = 149,222) VHA patients with diabetes who were at least 65 years of age for receipt of annual HbA1c testing, low-density lipoprotein (LDL) cholesterol testing, or eye examination from VHA and Medicare administrative files. In VHA alone data, adjusting for patient characteristics, Hispanic and black patients were as likely as white patients to receive HbA1c testing (odds ratio 1.06 [95% confidence interval 0.99-1.13] and 1.04 [1.00-1.07], respectively), and more likely to receive eye examinations (1.31 [1.24-1.38] and 1.33 [1.29-1.37], respectively). Hispanic patients were equally likely (1.01 [0.95-1.07]) and black patients were less likely (0.81 [0.79-0.84]) to receive LDL testing versus white patients. In VHA plus Medicare data, Hispanic and black patients w...Continue Reading

References

Feb 1, 1995·American Journal of Epidemiology·S G FisherF Davis
Jul 1, 1993·American Journal of Public Health·J J EscarceJ S Schwartz
Sep 12, 1996·The New England Journal of Medicine·M E GornickB C Vladeck
Feb 15, 2001·JAMA : the Journal of the American Medical Association·A K JhaW S Browner
Mar 12, 2002·JAMA : the Journal of the American Medical Association·Eric C SchneiderArnold M Epstein
Apr 17, 2002·Annals of Internal Medicine·Jinan B SaaddineK M Venkat Narayan
May 22, 2002·JAMA : the Journal of the American Medical Association·Andrew J KarterJoe V Selby
Jun 27, 2002·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Dorothy D DunlopRowland W Chang
Aug 29, 2002·American Journal of Public Health·Ulrike BoehmerJudith A Jones
Sep 10, 2002·Medical Care·Howard S GordonCarol M Ashton
Feb 1, 2003·Annals of Internal Medicine·Arlyss Anderson Rothman, Edward H Wagner
May 29, 2003·JAMA : the Journal of the American Medical Association·Judith B Kaplan, Trude Bennett
Jun 13, 2003·Medical Care Research and Review : MCRR·Yujing ShenLewis E Kazis
Oct 10, 2003·American Journal of Public Health·Nancy R KressinLewis E Kazis
Jan 20, 2004·Health Services Research·Nancy L KeatingEdward Guadagnoli
Aug 4, 2004·The Journal of Ambulatory Care Management·Alfredo J SelimLewis E Kazis
Aug 6, 2004·The New England Journal of Medicine·Peter B BachJ Lee Hargraves
Sep 29, 2004·American Journal of Public Health·José J Escarce, Thomas G McGuire
Nov 30, 2004·Journal of General Internal Medicine·Diana J BurgessMichelle van Ryn
Aug 19, 2005·The New England Journal of Medicine·Amal N TrivediJohn Z Ayanian

❮ Previous
Next ❯

Citations

Aug 21, 2008·Administration and Policy in Mental Health·John F McCarthyMarcia Valenstein
May 31, 2008·The Journal of Behavioral Health Services & Research·Ranjana BanerjeaLeonard M Pogach
Feb 28, 2008·Journal of General Internal Medicine·Somnath SahaSaid Ibrahim
Jun 15, 2011·Journal of General Internal Medicine·R Neal AxonLeonard E Egede
Jun 5, 2012·Social Work in Public Health·Edward Alan Miller, Orna Intrator
May 28, 2011·Medical Care·Carolyn T ThorpeMaureen A Smith
Jan 30, 2009·Cerebrovascular Diseases·Nancy PandhiMichael D Finch
Oct 19, 2007·Medical Care Research and Review : MCRR·Monica E PeekElbert S Huang
Jul 20, 2012·Arthritis Research & Therapy·Christie M BartelsMaureen A Smith
Jul 8, 2011·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Varsha G VimalanandaB Graeme Fincke
Dec 19, 2015·Journal of Diabetes Research·LaRita C JonesMichael Crowe
Jan 1, 2008·General Hospital Psychiatry·Benjamin G DrussWayne J Katon
Apr 20, 2017·Journal of the American Geriatrics Society·Raya Elfadel KheirbekMaria D Llorente
Aug 15, 2014·Journal of Patient Safety·Juliet Siena OkorohSaul Weingart
Jul 3, 2010·Journal of the Royal Society of Medicine·Monica DesaiMartin McKee
Apr 5, 2008·Medical Care·Joseph S RossAlbert L Siu
Mar 7, 2019·Journal of Women's Health·Alison M WhiteheadSally G Haskell
Jul 16, 2014·The Open Cardiovascular Medicine Journal·Mohammed Al-ShafaeeIbrahim Al-Zakwani
Mar 21, 2012·Journal of the American Geriatrics Society·Carolyn T ThorpeMaureen A Smith
Feb 10, 2011·Arthritis and Rheumatism·Christie M BartelsMaureen Smith
Apr 4, 2018·Journal of General Internal Medicine·LeChauncy D WoodardAanand D Naik
Nov 7, 2017·Journal of Diabetes and Its Complications·Meghan B BrennanMin-Woong Sohn

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
William B WeeksSteven M Wright
Health Services Research
Elena M KouriNancy L Keating
© 2022 Meta ULC. All rights reserved