Racial patterns disabled elderly persons' use of medical services

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48 Citations (Scopus)

Abstract

Objective. This study examines the extent that older persons experience patterns of health service use that vary by race. Methods. Using the 1989 NLTCS database, researchers estimate ten binomial logistic regressions of community medical service use by disabled White and Black older persons. Chow tests and Oaxaca decomposition analysis inform why racial differences continue to exist, although most elderly persons have Medicare. Results. With similar medical conditions, Blacks are less likely to use services, particularly prescription medications and physician services. Use of some medical services is more likely for elderly Black persons who live in rural areas, small cities, and Western states, or who have more IADLs, joint and breathing problems, and broken parts. An Oaxaca i decomposition indicates that differences in personal characteristics (e.g., income and health) do not fully explain racial differences in use of prescriptions and physician services. Discussion. For reasons that are unrelated to financial assets, blacks remain vulnerable in their ability to access services commonly used by older persons. To remedy racial disparities in medical utilization, public policy must expand its focuses beyond health finance issues rind consider differences in availability, accessibility, and acceptability.

Original languageEnglish (US)
JournalJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Volume55
Issue number2
DOIs
StatePublished - Jan 1 2000
Externally publishedYes

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medical services
Disabled Persons
human being
medication
Prescriptions
physician
medical service
Physicians
Social Welfare
Health
Public Policy
Medicare
health
remedies
Health Services
Respiration
assets
health service
finance
rural area

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Social Psychology
  • Clinical Psychology
  • Sociology and Political Science
  • Gerontology
  • Geriatrics and Gerontology
  • Life-span and Life-course Studies

Cite this

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title = "Racial patterns disabled elderly persons' use of medical services",
abstract = "Objective. This study examines the extent that older persons experience patterns of health service use that vary by race. Methods. Using the 1989 NLTCS database, researchers estimate ten binomial logistic regressions of community medical service use by disabled White and Black older persons. Chow tests and Oaxaca decomposition analysis inform why racial differences continue to exist, although most elderly persons have Medicare. Results. With similar medical conditions, Blacks are less likely to use services, particularly prescription medications and physician services. Use of some medical services is more likely for elderly Black persons who live in rural areas, small cities, and Western states, or who have more IADLs, joint and breathing problems, and broken parts. An Oaxaca i decomposition indicates that differences in personal characteristics (e.g., income and health) do not fully explain racial differences in use of prescriptions and physician services. Discussion. For reasons that are unrelated to financial assets, blacks remain vulnerable in their ability to access services commonly used by older persons. To remedy racial disparities in medical utilization, public policy must expand its focuses beyond health finance issues rind consider differences in availability, accessibility, and acceptability.",
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AB - Objective. This study examines the extent that older persons experience patterns of health service use that vary by race. Methods. Using the 1989 NLTCS database, researchers estimate ten binomial logistic regressions of community medical service use by disabled White and Black older persons. Chow tests and Oaxaca decomposition analysis inform why racial differences continue to exist, although most elderly persons have Medicare. Results. With similar medical conditions, Blacks are less likely to use services, particularly prescription medications and physician services. Use of some medical services is more likely for elderly Black persons who live in rural areas, small cities, and Western states, or who have more IADLs, joint and breathing problems, and broken parts. An Oaxaca i decomposition indicates that differences in personal characteristics (e.g., income and health) do not fully explain racial differences in use of prescriptions and physician services. Discussion. For reasons that are unrelated to financial assets, blacks remain vulnerable in their ability to access services commonly used by older persons. To remedy racial disparities in medical utilization, public policy must expand its focuses beyond health finance issues rind consider differences in availability, accessibility, and acceptability.

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