Healthcare Disparities Affecting Americans in the US Territories: A Century-Old Dilemma

Rodríguez-Vilá, Orlando; Nuti, Sudhakar V.; Krumholz, Harlan M.

doi:10.1016/j.amjmed.2016.07.036

Cited by 20 publications

(20 citation statements)

References 9 publications

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“…Our 12 A 2005 report found that Medicare spending per benefi ciary in U.S. territories was less than half the amount received by benefi ciaries in the U.S. 13 For decades, the percentage of U.S. territory Medicaid expenditures covered by the federal government was set at the lowest possible rate (50%), despite most territories being inhabited by U.S. citizens who have, on average, a lower median household income than citizens in the U.S. 13 Th ese funding shortfalls have been associated with poor health outcomes. Medicare and Medicaid funding disparities have been associated with outdated equipment, larger numbers of uninsured patients and high costs.…”

Section: Discussionmentioning

confidence: 99%

Breast Cancer Screening in Puerto Rico and Other US Territories: Findings from the 2016 Behavioral Risk Factor Surveillance System Survey

López¹,

Miles²,

Flores³

et al. 2020

Journal of Health Care for the Poor and Underserved

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Initial studies suggest that women living in U.S. territories may experience barriers to appropriate breast cancer diagnosis and treatment. Our purpose was to evaluate mammography screening engagement in U.S. territories compared with U.S. states. Women aged 50-74 years in the 2016 Behavioral Risk Factor Surveillance System survey without personal history of breast cancer were included. Proportions of women reporting mammography use were calculated. Multivariable logistic regression models were used to compare self-reported mammography use in U.S. territories with all U.S. states. Our total study population included 131,320 women. Of this group, 2,481 were from U.S. territories. In our adjusted analyses, women in the U.S. Virgin Islands were less likely to report mammography use (OR 0.52) compared with women in the U.S. states. Women in other U.S. territories reported mammography at similar rates to U.S. states. Targeted interventions accounting for unique, territory-specifi c barriers are likely required to improve screening engagement.

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Section: Discussionmentioning

confidence: 99%

Breast Cancer Screening in Puerto Rico and Other US Territories: Findings from the 2016 Behavioral Risk Factor Surveillance System Survey

López¹,

Miles²,

Flores³

et al. 2020

Journal of Health Care for the Poor and Underserved

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“…The territories also have poorer adoption of electronic health records and are often excluded from important national databases. 19 Medicare and Medicaid spending per capita is much lower in the territories than in the U.S. states, potentially resulting in less access to physicians and medications as well as fewer resources for nursing homes and hospitals. 19 In addition, broader health care outcomes are also worse in the territories.…”

Section: 4 Discussionmentioning

confidence: 99%

“…19 Medicare and Medicaid spending per capita is much lower in the territories than in the U.S. states, potentially resulting in less access to physicians and medications as well as fewer resources for nursing homes and hospitals. 19 In addition, broader health care outcomes are also worse in the territories. For example, hospitals in the U.S. territories also have higher 30-day mortality rates compared to hospitals in the U.S. states.…”

Section: 4 Discussionmentioning

confidence: 99%

Are the U.S. territories lagging behind in diabetes care practices?

Ogilvie

Patel

Narayan

et al. 2018

Primary Care Diabetes

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“…31 A secondary key difference between Austria and the United States is the differences in care by geographic location in the United States. 16,33,34 For example, Tyler et al 16 emphasized that rural versus urban areas face differential access and quality of care in terms of healthcare in the United States. Research indicates that healthcare failings in the United States include a lack of care that meets the diverse needs of varied geographic regions.…”

Section: The United Statesmentioning

confidence: 99%

A Comparison of the United States and Austrian Healthcare Needs and Systems

McAlister

Helton

2021

INQUIRY

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Austria and the United States have very different healthcare systems with Austria following a social insurance model and the United States following an out of pocket model however;gross domestic product on healthcare expenditures. There is a current gap in literature on how the United States and Austrian healthcare systems comparatively impact patient outcomes, especially when considering the mediating effects of societal norms such as exercise and mental self-care habits. The information presented could benefit the United States healthcare system if they adopted Austria’s model, which expands access, and the Austrian healthcare system regulators could look to American standards of communication and care coordination to improve their healthcare system overall.

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Healthcare Disparities Affecting Americans in the US Territories: A Century-Old Dilemma

Cited by 20 publications

References 9 publications

Breast Cancer Screening in Puerto Rico and Other US Territories: Findings from the 2016 Behavioral Risk Factor Surveillance System Survey

Breast Cancer Screening in Puerto Rico and Other US Territories: Findings from the 2016 Behavioral Risk Factor Surveillance System Survey

Are the U.S. territories lagging behind in diabetes care practices?

A Comparison of the United States and Austrian Healthcare Needs and Systems

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