Examining racial and ethnic trends and differences in annual healthcare expenditures among a nationally representative sample of adults with arthritis from 2008 to 2016

Bibliographic Details
Title: Examining racial and ethnic trends and differences in annual healthcare expenditures among a nationally representative sample of adults with arthritis from 2008 to 2016
Authors: Antoinette L. Spector, Sneha Nagavally, Aprill Z. Dawson, Rebekah J. Walker, Leonard E. Egede
Source: BMC Health Services Research, Vol 20, Iss 1, Pp 1-10 (2020)
Publisher Information: BMC, 2020.
Publication Year: 2020
Collection: LCC:Public aspects of medicine
Subject Terms: Arthritis, Race, Ethnicity, Healthcare expenditures, Medical expenditure panel survey, Public aspects of medicine, RA1-1270
More Details: Abstract Background Disparities in health care utilization and outcomes for racial and ethnic minorities with arthritis are well-established. However, there is a paucity of research on racial and ethnic differences in healthcare expenditures and if this relationship has changed over time. Our objectives were to: 1) examine trends in annual healthcare expenditures for adults with arthritis by race and ethnicity, and 2) determine if racial and ethnic differences in annual healthcare expenditures were independent of other factors such as healthcare access and functional disability. Methods We used the Medical Expenditures Panel Survey (2008–2016) to examine trends in annual healthcare expenditures within and between racial and ethnic groups with arthritis (n = 227,663). A two-part model was used to estimate the marginal differences in expenditures by race and ethnicity after adjusting for relevant covariates, including the impact of healthcare access. Results Between 2008 and 2016, there were no significant changes in unadjusted healthcare expenditures within any of the racial and ethnic groups, but the trend among non-Hispanic whites did differ significantly from Hispanics and Other. In fully adjusted analysis, mean annual expenditures for non-Hispanic whites was $946, $939, and $1178 more than non-Hispanic blacks, Hispanics, and Other, respectively (p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1472-6963
Relation: http://link.springer.com/article/10.1186/s12913-020-05395-z; https://doaj.org/toc/1472-6963
DOI: 10.1186/s12913-020-05395-z
Access URL: https://doaj.org/article/db347700aab042f0b06db56561ab01af
Accession Number: edsdoj.b347700aab042f0b06db56561ab01af
Database: Directory of Open Access Journals
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More Details
ISSN:14726963
DOI:10.1186/s12913-020-05395-z
Published in:BMC Health Services Research
Language:English