Disparities in Medicare Services: Potential Causes, Plausible Explanations, and Recommendations
- 1 January 2000
- journal article
- research article
- Vol. 21 (4) , 23-43
Abstract
Race/ethnicity and socioeconomic status (SES) are associated with the use of Medicare services. In this article, the author juxtaposes disparities in health outcome measures (including death rates for heart disease, cancer, and stroke) with disparities in the use of elective services expected to improve health, and with disparities in the use of non-elective services associated with poor management of chronic disease. This approach is intended to provide information for judging (a) the reasonableness of the explanations offered for disparities in Medicare utilization and (b) the recommendations made to effect change.Keywords
This publication has 15 references indexed in Scilit:
- The American health care system.1999
- The Effect of Race and Sex on Physicians' Recommendations for Cardiac CatheterizationNew England Journal of Medicine, 1999
- Variation in Health and Health Care Use by Socioeconomic Status in Winnipeg, Canada: Does the System Work Well? Yes and NoThe Milbank Quarterly, 1997
- Racial and ethnic disparities in the use of cardiovascular procedures: associations with type of health insurance.American Journal of Public Health, 1997
- Medicare Coverage, Supplemental Insurance, and the Use of Mammography by Older WomenNew England Journal of Medicine, 1995
- The Influence of Race on the Use of Surgical Procedures for Treatment of Peripheral Vascular Disease of the Lower ExtremitiesArchives of Surgery, 1995
- Racial Variation in Cardiac Procedure Use and Survival Following Acute Myocardial Infarction in the Department of Veterans AffairsJAMA, 1994
- Differences by Race in the Rates of Procedures Performed in Hospitals for Medicare Beneficiaries1994
- Racial Differences in the Use of Invasive Cardiovascular Procedures in the Department of Veterans Affairs Medical SystemNew England Journal of Medicine, 1993
- Racial Differences in the Use of Revascularization Procedures After Coronary AngiographyJAMA, 1993