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Perceived Health Status and Utilization of Specialty Care: Racial and Ethnic Disparities in Patients with Chronic Diseases

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Title: Perceived Health Status and Utilization of Specialty Care: Racial and Ethnic Disparities in Patients with Chronic Diseases
Language: English
Authors: Glover, Saundra, Bellinger, Jessica D., Bae, Sejong
Source: Health Education Journal. 2010 69(1):95-106.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Peer Reviewed: Y
Physical Description: PDF
Page Count: 12
Publication Date: 2010
Document Type: Journal Articles
Reports - Research
Descriptors: Minority Groups, Health Conditions, Incidence, Medical Services, Specialists, Mental Health, Diseases, Diabetes, Medicine, Racial Differences, Ethnic Diversity, Patients, Chronic Illness
DOI: 10.1177/0017896910363336
ISSN: 0017-8969
Abstract: Objective: The objective of this study is to determine racial and ethnic variations in specialty care utilization based on (a) perceived health status and (b) chronic disease status. Methods: Variations in specialty care utilization, by perceived health and chronic disease status, were examined using the Commonwealth Fund Health Care Quality Survey (n = 6722). Multivariate logistic regression and chi-squared analyses were used. Results: Hypertension was the most common chronic disease (25 per cent). Respondents with negative perceived health and minorities were less likely to report specialty care. Non-English language and foreign-born status were predictors of low specialty care use. Conclusions: Efforts to improve outcomes should be tailored and provided in a culturally and linguistically appropriate manner. Bilingual efforts to promote specialty care and methods to eliminate patient and system level barriers are needed. (Contains 3 tables.)
Abstractor: As Provided
Number of References: 32
Entry Date: 2010
Accession Number: EJ877969
Database: ERIC
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  Data: Perceived Health Status and Utilization of Specialty Care: Racial and Ethnic Disparities in Patients with Chronic Diseases
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+Journal%22"><i>Health Education Journal</i></searchLink>. 2010 69(1):95-106.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Minority+Groups%22">Minority Groups</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Conditions%22">Health Conditions</searchLink><br /><searchLink fieldCode="DE" term="%22Incidence%22">Incidence</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+Services%22">Medical Services</searchLink><br /><searchLink fieldCode="DE" term="%22Specialists%22">Specialists</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Health%22">Mental Health</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases%22">Diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Diabetes%22">Diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Medicine%22">Medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Racial+Differences%22">Racial Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnic+Diversity%22">Ethnic Diversity</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+Illness%22">Chronic Illness</searchLink>
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  Data: 10.1177/0017896910363336
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  Data: Objective: The objective of this study is to determine racial and ethnic variations in specialty care utilization based on (a) perceived health status and (b) chronic disease status. Methods: Variations in specialty care utilization, by perceived health and chronic disease status, were examined using the Commonwealth Fund Health Care Quality Survey (n = 6722). Multivariate logistic regression and chi-squared analyses were used. Results: Hypertension was the most common chronic disease (25 per cent). Respondents with negative perceived health and minorities were less likely to report specialty care. Non-English language and foreign-born status were predictors of low specialty care use. Conclusions: Efforts to improve outcomes should be tailored and provided in a culturally and linguistically appropriate manner. Bilingual efforts to promote specialty care and methods to eliminate patient and system level barriers are needed. (Contains 3 tables.)
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      – SubjectFull: Incidence
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      – SubjectFull: Diabetes
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      – SubjectFull: Racial Differences
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      – SubjectFull: Ethnic Diversity
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      – SubjectFull: Patients
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