Racial Ethnic Disparities in Establishing Usual Source of Care among Young Adults With and Without Disabilities, Age 14-28

2009 ◽  
Vol 2 (1) ◽  
pp. e10
Author(s):  
Janet Valluzzi ◽  
Scott Grosse
Keyword(s):  
Young Adults ◽  
Ethnic Disparities ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Source Of Care ◽  
Racial Ethnic

scholarly journals Racial and Ethnic Disparities in Access to Care during the Early Years of Affordable Care Act Implementation in California

2018 ◽  
Vol 16 (1) ◽  
pp. 36-45
Author(s):  
Shana Alex Charles ◽  
Archana J. McEligot
Keyword(s):  
Access To Care ◽  
Ethnic Group ◽  
Affordable Care Act ◽  
Ethnic Disparities ◽  
Early Years ◽  
California Health Interview Survey ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Source Of Care ◽  
Racial Ethnic

Background and Purpose: Following the Affordable Care Act (ACA) health insurance expansions, this study asks: did racial/ethnic group disparities in access to care remain? And specifically, did Latinos experience worse access to care after the ACA expansions compared to other racial/ethnic groups? Methods: Dataset: 2015 California Health Interview Survey (n=21,034; N=29,083,000). Participants: Adults, ages 18 and older, in California. Analyses: Bivariate chi-square tests and logistic multivariate regressions, including stratification by insurance. Results: Bivariate tests showed associations between racial/ethnic group and access to care. Latinos had lowest rates of having a usual source of care among uninsured (49.5%) and job-based coverage (85.2%). One-fifth of uninsured non-Latino whites (21%) report foregoing needed care. In the multivariate models, non-Latino whites had significantly higher odds of having a usual source of care (OR=1.32; p

scholarly journals Racial and Ethnic Disparities in Access to Health Care Among Adults in the United States: A 20-Year National Health Interview Survey Analysis, 1999–2018

2020 ◽  
Author(s):  
César Caraballo ◽  
Dorothy Massey ◽  
Shiwani Mahajan ◽  
Yuan Lu ◽  
Amarnath R. Annapureddy ◽  
...  
Keyword(s):  
Medical Care ◽  
National Health ◽  
National Health Interview Survey ◽  
Insurance Coverage ◽  
Ethnic Disparities ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Interview Survey ◽  
Source Of Care ◽  
Hispanic White

ABSTRACTImportanceRacial and ethnic disparities plague the US health care system despite efforts to eliminate them. To understand what has been achieved amid these efforts, a comprehensive study from the population perspective is needed.ObjectivesTo determine trends in rates and racial/ethnic disparities of key access to care measures among adults in the US in the last two decades.DesignCross-sectional.SettingData from the National Health Interview Survey, 1999–2018.ParticipantsIndividuals >18 years old.ExposureRace and ethnicity: non-Hispanic Black, non-Hispanic Asian, non-Hispanic White, Hispanic.Main outcome and measuresRates of lack of insurance coverage, lack of a usual source of care, and foregone/delayed medical care due to cost. We also estimated the gap between non-Hispanic White and the other subgroups for these outcomes.ResultsWe included 596,355 adults, of which 69.7% identified as White, 11.8% as Black, 4.7% as Asian, and 13.8% as Hispanic. The proportion uninsured and the rates of lacking a usual source of care remained stable across all 4 race/ethnicity subgroups up to 2009, while rates of foregone/delayed medical care due to cost increased. Between 2010 and 2015, the percentage of uninsured diminished for all, with the steepest reduction among Hispanics (−2.1% per year). In the same period, rates of no usual source of care declined only among Hispanics (−1.2% per year) while rates of foregone/delayed medical care due to cost decreased for all. No substantial changes were observed from 2016–2018 in any outcome across subgroups. Compared with 1999, in 2018 the rates of foregone/delayed medical care due to cost were higher for all (+3.1% among Whites, +3.1% among Blacks, +0.5% among Asians, and +2.2% among Hispanics) without significant change in gaps; rates of no usual source of care were not significantly different among Whites or Blacks but were lower among Hispanics (−4.9%) and Asians (−6.4%).Conclusions and RelevanceInsurance coverage increased for all, but millions of individuals remained uninsured or underinsured with increasing rates of unmet medical needs due to cost. Those identifying as non-Hispanic Black and Hispanic continue to experience more barriers to health care services compared with non-Hispanic White individuals.KEY POINTSQuestionIn the last 2 decades, what has been achieved in reducing barriers to access to care and race/ethnicity-associated disparities?FindingsUsing National Health Interview Survey data from 1999–2018, we found that insurance coverage increased across all 4 major race/ethnicity groups. However, rates of unmet medical needs due to cost increased without reducing the respective racial/ethnic disparities, and little-to-no change occurred in rates of individuals who have no usual source of care.MeaningDespite increased coverage, millions of Americans continued to experience barriers to access to care, which were disproportionately more prevalent among those identifying as Black or Hispanic.

scholarly journals When a Usual Source of Care and Usual Provider Matter: Adult Prevention and Screening Services

2008 ◽  
Vol 23 (9) ◽  
pp. 1354-1360 ◽  
Author(s):  
Lynn A. Blewett ◽  
Pamela Jo Johnson ◽  
Brian Lee ◽  
Peter B. Scal
Keyword(s):  
Usual Source Of Care ◽  
Usual Source ◽  
Source Of Care ◽  
Screening Services
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