Racial Disparities in the Quality of Care for Enrollees in Medicare Managed Care

Abstract

Among Medicare beneficiaries enrolled in managed care health plans, blacks received poorer quality of care than whites.

Use of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in high-risk clinical and ethnic groups with diabetes

“…Ours is the first study to examine the association between race/ethnicity and ACE/ARB use among individuals with diabetes. In contrast to prior studies, 18–27 we found few racial/ethnic disparities in ACE/ARB use among patients with diabetes. There were no racial/ethnic disparities in ACE/ARB use among patients with isolated hypertension or combined hypertension and albuminuria.…”

Disparity in use of orthotopic liver transplantation among blacks and whites

“…Consequently, blacks were less likely to receive OLT within 4 years. Our findings are not explained easily but are consistent with other studies that have shown that blacks encounter barriers to sophisticated medical therapies 1–6. In this study, as in others, race is likely a proxy for unmeasured factors, such as lower socioeconomic status, which may influence access to and quality of medical care 26–28.…”

Health Disparities in Receipt of Screening Mammography in Latinas: A Critical Review of Recent Literature

“…Several other recent studies have found that higher education is associated with adherence to mammography screening in a range of populations. [37][38][39][40][41][42][43] Four out of eight studies reviewed found an association between income and adherence to screening mammography, which is similar to the findings of several other recent studies in various populations. [37][38][39][41][42][43][44] The adjusted ORs for income as a predictor of screening mammography were lower than for college education (range: 1.02 to 1.69).…”