Disparities in Potentially Preventable Hospitalizations: Near‐National Estimates for Hispanics

Feng, Chen; Paasche‐Orlow, Michael K.; Kressin, Nancy R.; Rosen, Jennifer E.; López, Lenny; Kim, Young Ho; Lin, Meng‐Yun; Hanchate, Amresh

doi:10.1111/1475-6773.12694

Cited by 23 publications

(21 citation statements)

References 19 publications

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“…These findings are in agreement with the 2014 Behavior Risk Factor Surveillance System, that reported adult Hispanics (25%) continue to have more unmet health care needs compared to non-Hispanic Whites (14%) because of cost factors (Okoro et al, 2017). In particular, the lack of insurance (Feng et al, 2018), lack of affordable insurance (Schembri & Ghaddar, 2018), living in states that do not have Medicaid expansion coverage (Gaffney & McCormick, 2017), and high cost of medications (ADA, n.d-a;Luque et al, 2018) exist as prevalent barriers to access to care for Hispanics. Even though Hispanics have experienced the largest decline in uninsured rate of any ethnic group since the early years of the ACA, cost barriers to care remain persistent .…”

Section: Discussionsupporting

confidence: 89%

“…The varied study settings in this review show the widespread prevalence of barriers of access to care for Hispanics with T2D, as also recently represented in a study of barriers conducted in 15 different states (Feng et al, 2018). Additionally, the four theory-driven studies (43%) all identified practical solutions for Hispanics to address their T2D health care needs and barriers to accessing health care.…”

Section: Discussionmentioning

confidence: 76%

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Barriers to Access to Care in Hispanics With Type 2 Diabetes: A Systematic Review

Titus

Kataoka‐Yahiro

2020

Hisp Health Care Int

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Introduction: Type 2 diabetes (T2D) is a major cause of death in the United States. Hispanics living in America suffer disproportionally with diabetes and is the fifth cause of death for them. A systematic review was conducted that highlighted barriers to access to care for Hispanics with T2D during the early years of the Affordable Care Act. Method: PubMed and CINAHL databases were searched (2010-2015) using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. From 84 studies, seven qualitative/mixed methods studies were reviewed based on inclusion/exclusion criteria. Barriers were placed into three categories set a priori. Results: All study samples were from different states, representing barriers across the United States. Persistent barriers were self (100%), provider (100%), and environment (71%). Covariates (culture and genetics), individual resources (cost factors, time, and social support), lack of providers or providers specializing in T2D, and environmental factors (lack of diabetes education, nutrition, and exercise programs) were found to affect Hispanics with T2D access to care. Conclusion: Cost factors, time, lack of social support, providers, and relevant programs remain prevalent barriers. As the Hispanic population increases and changes in the health care system are evolving, additional barriers to access to care are likely to emerge and must be explored.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 76%

Barriers to Access to Care in Hispanics With Type 2 Diabetes: A Systematic Review

Titus

Kataoka‐Yahiro

2020

Hisp Health Care Int

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“…This patient's presentation of gravely advanced GTD, evidenced by an exceptionally high β-HCG level, can be attributed to a number of causes. It is likely that her lower socioeconomic status impeded earlier detection and medical treatment [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Advanced gestational trophoblastic disease: A case report of medical management prior to surgical intervention

Lehto

Hitscherich

Argeros

2018

Case Reports in Women's Health

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BackgroundGestational trophoblastic disease (GTD) is a rare developmental form of proliferative trophoblastic tissue. Sparse literature exists regarding the optimal management of patients with advanced GTD, but the definitive treatment is urgent surgical intervention.CaseA 48-year-old woman presented advanced GTD. She was medically managed for hypertension and hyperthyroidism prior to surgical intervention in order to minimize the risk of anesthetic and surgical complications.ConclusionAdvanced GTD is rare. Undetected GTD can result in complications such as thyrotoxicosis, which poses substantial risks in the peri-operative period. Appropriate identification and management of this clinical problem are essential to prevent complications as well as subsequent malignant sequelae.

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“…The sociodemographic and health characteristics that make older Hispanics a high-risk population for ADRD also contribute to high rates of hospitalizations [5] and emergency room (ER) visits [6]. Language barriers [7] and limited access to high-quality care [8] have a role in the lower use of physician and outpatient services by Hispanics than non-Hispanic whites [9].…”

Section: Introductionmentioning

confidence: 99%

Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer’s disease and related dementias

Downer¹,

Snih²,

Raji³

et al. 2020

PLoS ONE

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Background Older adults with Alzheimer's disease and related dementias (ADRD) are high-risk to experience hospitalizations and emergency room (ER) admissions. Mexican-Americans have a high prevalence of ADRD, but there is limited information on the healthcare use of older Mexican-Americans with ADRD. We used data from a cohort of older Mexican-Americans that has been linked with Medicare files to investigate differences in hospitalizations, ER admissions, and physician visits according to ADRD diagnosis. We also identify sociodemographic, health, and functional characteristics that may contribute to differences in healthcare utilization between Mexican-American Medicare beneficiaries with and without an ADRD diagnosis. Methods and findings Data came from the Hispanic Established Populations for the Epidemiological Study of the Elderly that has been linked with Medicare Master Beneficiary Summary Files, Medicare Provider Analysis and Review files, Outpatient Standard Analytic files, and Carrier files. The final analytic sample included 1048 participants. Participants were followed for two years (eight quarters) after their survey interview. Generalized estimating equations were used to estimate the probability for one or more hospitalizations, ER admissions, and physician visits at each quarter. ADRD was associated with higher odds for hospitalizations (OR = 1.65, 95%CI = 1.29-2.11) and ER admissions (OR = 1.57, 95%CI = 1.23-1.94) but not physician visits (OR = 1.23, 95%CI = 0.91-1.67). The odds for hospitalizations (OR = 1.24, 95%CI = 0.97-1.60) and ER admissions (OR = 1.27, 95%CI = 1.01-1.59) were reduced after controlling for limitations in activities of daily living and comorbidities.

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Disparities in Potentially Preventable Hospitalizations: Near‐National Estimates for Hispanics

Abstract: Hispanics and blacks face higher barriers to outpatient care access; the higher barriers among Hispanics (but not blacks) seem mediated by SES, lack of insurance, cost barriers, and limited provider availability.

Cited by 23 publications

References 19 publications

Barriers to Access to Care in Hispanics With Type 2 Diabetes: A Systematic Review

Barriers to Access to Care in Hispanics With Type 2 Diabetes: A Systematic Review

Advanced gestational trophoblastic disease: A case report of medical management prior to surgical intervention

Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer’s disease and related dementias

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