Opinion: NHAMCS database variables limit healthcare disparities research

2022 ◽  
Author(s):  
Stacey Marye
Keyword(s):  
Healthcare Disparities

White Paper: SSAT Commitment to Workforce Diversity and Healthcare Disparities

2016 ◽  
Vol 20 (5) ◽  
pp. 879-884 ◽  
Author(s):  
R. Matthew Walsh ◽  
D. Rohan Jeyarajah ◽  
Jeffrey B. Matthews ◽  
Dana Telem ◽  
Mary T. Hawn ◽  
...  
Keyword(s):  
Healthcare Disparities ◽  
White Paper ◽  
Workforce Diversity

scholarly journals Demographics associated with US healthcare disparities are exacerbated by the telemedicine surge during the COVID-19 pandemic

2021 ◽  
pp. 1357633X2110259
Author(s):  
Kristin N Gmunder ◽  
Jose W Ruiz ◽  
Dido Franceschi ◽  
Maritza M Suarez
Keyword(s):  
Income Tax ◽  
Healthcare Disparities ◽  
Descriptive Statistics ◽  
Internal Revenue Service ◽  
Patient Specific ◽  
Postal Code ◽  
The Us ◽  
Hispanic Patients ◽  
The Impact ◽  
Racial Ethnic

Introduction As coronavirus disease 2019 (COVID-19) hit the US, there was widespread and urgent implementation of telemedicine programs nationwide without much focus on the impact on patient populations with known existing healthcare disparities. To better understand which populations cannot access telemedicine during the coronavirus disease 2019 pandemic, this study aims to demographically describe and identify the most important demographic predictors of telemedicine visit completion in an urban health system. Methods Patient de-identified demographics and telemedicine visit data ( N = 362,764) between March 1, 2020 and October 31, 2020 were combined with Internal Revenue Service 2018 individual income tax data by postal code. Descriptive statistics and mixed effects logistic regression were used to determine impactful patient predictors of telemedicine completion, while adjusting for clustering at the clinical site level. Results Many patient-specific demographics were found to be significant. Descriptive statistics showed older patients had lower rates of completion ( p < 0.001). Also, Hispanic patients had statistically significant lower rates ( p < 0.001). Overall, minorities (racial, ethnic, and language) had decreased odds ratios of successful telemedicine completion compared to the reference. Discussion While telemedicine use continues to be critical during the coronavirus disease 2019 pandemic, entire populations struggle with access—possibly widening existing disparities. These results contribute large datasets with significant findings to the limited research on telemedicine access and can help guide us in improving telemedicine disparities across our health systems and on a wider scale.

Eliminating Healthcare Disparities in America: Beyond the IOM Report

JAMA ◽  
2007 ◽  
Vol 298 (24) ◽  
pp. 2914
Author(s):  
Darrell J. Gaskin
Keyword(s):  
Healthcare Disparities

LGBT healthcare disparities: What progress have we made?

2017 ◽  
Vol 100 (12) ◽  
pp. 2357-2361 ◽  
Author(s):  
Kathleen A. Bonvicini
Keyword(s):  
Healthcare Disparities

Factors Associated With, and Mitigation Strategies for, Healthcare Disparities Faced by Patients With Headache Disorders

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000012261
Author(s):  
Jessica Kiarashi ◽  
Juliana VanderPluym ◽  
Christina L. Szperka ◽  
Scott Turner ◽  
Mia T. Minen ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Cultural Sensitivity ◽  
Healthcare Disparities ◽  
Community Outreach ◽  
Primary Care Providers ◽  
Mitigation Strategies ◽  
Care Providers ◽  
Headache Disorders ◽  
Pubmed Search ◽  
Underserved Groups

ObjectiveTo review the contemporary issues of healthcare disparities in Headache Medicine with regard to race/ethnicity, socioeconomic status and geography and propose solutions for addressing these disparities.MethodsAn internet and PubMed search was performed and literature was reviewed for key concepts underpinning disparities in Headache Medicine. Content was refined to areas most salient to our goal of informing the provision of equitable care in headache treatment through discussions with this group of 16 experts from a range of headache subspecialties.ResultsTaken together, a multitude of factors including racism, socioeconomic status and insurance status and geographical disparities contribute to the inequities that exist within the healthcare system when treating headache disorders. Interventions such as improving public education, advocacy, optimizing telemedicine, engaging in community outreach to educate primary care providers, training providers in cultural sensitivity and competence and implicit bias, addressing health literacy and developing recruitment strategies to increase representation of underserved groups within headache research are proposed as solutions to ameliorate disparities.ConclusionNeurologists have a responsibility to provide and deliver equitable care to all. It is important that disparities in the management of headache disorders are identified and addressed.

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