Impact of Primary Care Patient Visits on Racial and Ethnic Disparities in Preventive Care in the United States

Fiscella, Kevin; Holt, Kathleen

doi:10.3122/jabfm.2007.06.070053

Cited by 48 publications

(40 citation statements)

References 48 publications

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“…Minority populations, especially those with lower socioeconomic status, have poorer health outcomes. [2][3][4] Academic health centers, although economically stressed, have a social contract to train competent professionals, improve health care access and quality, and grow their research enterprises prudently. 5 Nurturing a commitment to service as part of medical professionalism is essential if we hope to address the health of those who have been marginalized in our health care system.…”

Section: Introductionmentioning

confidence: 99%

A Longitudinal Comparison of Pharmacy and Medical Students' Attitudes Toward the Medically Underserved

Crandall¹,

Davis²,

Broeseker³

et al. 2008

Am J Pharm Educ

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Objective. To longitudinally assess pharmacy and medical students' attitudes toward the medically underserved. Methods. The Medical Students' Attitudes Toward the Underserved (MSATU) survey was administered to the entering classes at the schools of pharmacy and medicine at 2 universities in the South. This self-report measure was then completed by these students in each year of the professional curriculum. Data were compared longitudinally to assess students' attitudes toward the underserved. Conclusion. This initial study comparing pharmacy and medical students' attitudes toward the underserved can serve as a baseline as healthcare professionals seek for solutions to better care for the medically underserved.

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Section: Introductionmentioning

confidence: 99%

A Longitudinal Comparison of Pharmacy and Medical Students' Attitudes Toward the Medically Underserved

Crandall¹,

Davis²,

Broeseker³

et al. 2008

Am J Pharm Educ

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“…However, the number of primary care visits has only modest effects on disparities in influenza vaccinations. 3 In short, the authors' estimate might be in the ball park. Assuming the estimate is reasonable, can primary care deliver?…”

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confidence: 99%

Tackling Disparities in Influenza Vaccination in Primary Care: It Takes a Team

Fiscella

2014

J GEN INTERN MED

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“…• 22 used pooled analysis designs (Crystal, Sambamoorthi, Walkup, & Akincigil, 2003;Ettner, Hermann, & Tang, 1999;Fiscella & Holt, 2007 Briesacher, B.A., Tjia, J., Doubeni, C.A., Chen, Y., Rao, S.R.…”

Section: Resultsmentioning

confidence: 99%

“…We identified 274 articles through the initial key term search, and excluded 152 irrelevant articles through a title and abstract review. Several rounds of 122 full text reviews resulted in a final selection of 55 articles:• 22 used pooled analysis designs (Crystal, Sambamoorthi, Walkup, & Akincigil, 2003;Ettner, Hermann, & Tang, 1999;Fiscella & Holt, 2007 Briesacher, B.A., Tjia, J., Doubeni, C.A., Chen, Y., Rao, S.R. …”

mentioning

confidence: 99%

Methodological Issues in Using Multiple Years of the Medicare Current Beneficiary Survey

Briesacher¹,

Tjia²,

Doubeni³

et al. 2011

MMRR

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Background:The analysis presented in this paper examines the multi-year capacity of the Medicare Current Beneficiary Survey (MCBS). Methods:We systematically reviewed the literature for methodological approaches in research using multiple years of the MCBS and categorized the studies by study design, use of survey sampling weights, and variance adjustments. We then replicated the approaches in an empirical demonstration using functional status (activities of daily living (ADL) and 2005 Results: In the systematic review, we identified 22 pooled, 17 repeated cross-sectional, and 17 longitudinal studies. Less than half of these studies explicitly described the weighting approach or variance estimation. In the empirical demonstration, we showed that different study designs and weighting approaches will yield statistically different estimates. Conclusion:There is a variety of methodological approaches when using multiple years of the MCBS, and some of them provide biased results. Research needs to improve in describing the methods and preferred approaches for using these complex data.Keywords: Medicare current beneficiary survey, Health Care Surveys, Survey design, Survey sampling weight, Systematic review, SAS, SUDAAN doi: http://dx.doi.org/10.5600/mmrr.002.01.a04 Briesacher, B.A., Tjia, J., Doubeni, C.A., Chen, Y., Rao, S.R. E2 INTRODUCTIONThe Medicare Current Beneficiary Survey (MCBS) is the principal national survey for informing and evaluating health policies for the Medicare program. Since 1991, the Centers for Medicare & Medicaid Services have sponsored this survey, at a cost of $14.8 million a year to administer. To date, nearly 300 published studies have used the MCBS for critical research questions, most recently for assessing the nationwide impact of the Medicare prescription drug program (Part D) (Madden, Graves, Ross-Degnan, Briesacher, & Soumerai, 2009;Madden et al., 2008). However, one aspect of the MCBS that is not well known is its capability for short longitudinal analyses of up to 3 years. Unlike many other national surveys, the MCBS collects follow up data on each individual for up to 3 years of observation. Important questions about health-related changes over time can be answered by combining multiple years of the MCBS.However, the longitudinal data structure of the MCBS can also complicate analyses and cause confusion about appropriate research approaches. Research that uses multiple years of MCBS data faces the following issues. First, there is a nontrivial overlap in the MCBS sample each year (approximately 60% from one year to the next). This means that the assumption of statistical independence is violated for many standard analytic approaches. Second, the repeated observations introduce an additional level of clustered data beyond the survey design. The MCBS's multi-staged complex sampling design creates data that are clustered in primary sampling units and strata, and that require special statistical approaches for correct estimation and tests. However, the use of multiple years of the MC...

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Impact of Primary Care Patient Visits on Racial and Ethnic Disparities in Preventive Care in the United States

Cited by 48 publications

References 48 publications

A Longitudinal Comparison of Pharmacy and Medical Students' Attitudes Toward the Medically Underserved

A Longitudinal Comparison of Pharmacy and Medical Students' Attitudes Toward the Medically Underserved

Tackling Disparities in Influenza Vaccination in Primary Care: It Takes a Team

Methodological Issues in Using Multiple Years of the Medicare Current Beneficiary Survey

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