Disparities in Health Care Resource Utilization and Expenditures in Prostate Cancer Patients in the United States

Disparities in Health Care Resource Utilization and Expenditures in Prostate Cancer Patients in the United States

Bibliographic Details
Main Author: Ray, Debabrata
Language:English
Published: University of Toledo Health Science Campus / OhioLINK 2011
Subjects:
Health Care
Health Sciences
health disparities
health care resource utilization
health care expenditures
prostate cancer
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=mco1321955553
id ndltd-OhioLink-oai-etd.ohiolink.edu-mco1321955553
record_format oai_dc
spelling ndltd-OhioLink-oai-etd.ohiolink.edu-mco13219555532021-08-03T05:38:54Z Disparities in Health Care Resource Utilization and Expenditures in Prostate Cancer Patients in the United States Ray, Debabrata Health Care Health Sciences health disparities health care resource utilization health care expenditures prostate cancer <p>Introduction: Studies have shown that health care disparities continue to persist in the cancer population in the United States. Few studies have been done on disparities in health care resource utilization and expenditures for prostate cancer patients. Examining and reporting potential disparities is important in order to eliminate them.</p><p>Objectives: To examine possible demographic, socioeconomic and insurance disparities while controlling for self-reported health status and confounding factors, in health care resource utilization & expenditures among prostate cancer patients in the United States using the 2000-2008 Medical Expenditure Panel Survey (MEPS) database.</p><p>Methods: The MEPS 2000-2008 database was used with a sample of 1018 subjects who had a reported condition of prostate cancer. Logistic and negative binomial survey regression was used to examine differences in utilization. Ordinary least squares survey regression was used to examine differences in expenditures. Medical provider office visits, hospital outpatient visits, hospital inpatient stays and prescribed medicines were separately regressed against race, ethnicity, age, urban/rural location, educational level, poverty status and insurance type, along with controlling for self-reported health status.</p><p>Results: Black prostate cancer patients had a statistically significantly lower likelihood of having office-based medical provider visits compared to white patients (p = 0.0014), while Hispanic prostate cancer patients had a statistically significantly lower likelihood of having hospital outpatient visits compared to non-Hispanic patients (p = 0.0087). Statistically significant differences in expenditures were also found, where urban prostate cancer patients had statistically significantly higher hospital outpatient visit expenditures compared to rural patients (p < 0.0001).</p><p>Conclusion: Significant disparities continue to persist in the prostate cancer population, even when controlling for confounding factors. Future studies examining reasons as to why there are disparities are needed.</p> 2011 English text University of Toledo Health Science Campus / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=mco1321955553 http://rave.ohiolink.edu/etdc/view?acc_num=mco1321955553 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Health Care
Health Sciences
health disparities
health care resource utilization
health care expenditures
prostate cancer
spellingShingle Health Care
Health Sciences
health disparities
health care resource utilization
health care expenditures
prostate cancer
Ray, Debabrata
Disparities in Health Care Resource Utilization and Expenditures in Prostate Cancer Patients in the United States
author Ray, Debabrata
author_facet Ray, Debabrata
author_sort Ray, Debabrata
title Disparities in Health Care Resource Utilization and Expenditures in Prostate Cancer Patients in the United States
title_short Disparities in Health Care Resource Utilization and Expenditures in Prostate Cancer Patients in the United States
title_full Disparities in Health Care Resource Utilization and Expenditures in Prostate Cancer Patients in the United States
title_fullStr Disparities in Health Care Resource Utilization and Expenditures in Prostate Cancer Patients in the United States
title_full_unstemmed Disparities in Health Care Resource Utilization and Expenditures in Prostate Cancer Patients in the United States
title_sort disparities in health care resource utilization and expenditures in prostate cancer patients in the united states
publisher University of Toledo Health Science Campus / OhioLINK
publishDate 2011
url http://rave.ohiolink.edu/etdc/view?acc_num=mco1321955553
work_keys_str_mv AT raydebabrata disparitiesinhealthcareresourceutilizationandexpendituresinprostatecancerpatientsintheunitedstates
_version_ 1719423007066161152

Similar Items