Evidence map›Paper›PMID 16050853›Full record

ArticleJournal of general internal medicine2005

Racial disparities in the content of primary care office visits.

Peter Franks, Kevin Fiscella, Sean Meldrum

Open access · greenAbstract read
In one paragraph

Article in Journal of general internal medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
11.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

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  17. Excellence and equality in health care.American journal of public health · 2014
    Article
  18. Article
  19. Quit attempt correlates among smokers by race/ethnicity.International journal of environmental research and public health · 2011
    Article
  20. Racial differences in tuberculosis infection in United States communities: the coronary artery risk development in young adults study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2011
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Peter FranksDepartment of Family and Community Medicine, Center for Health Services Research in Primary Care, University of California, Davis, Sacramento, CA 95817, USA. pfranks@ucdavis.edu
Kevin Fiscella
Sean Meldrum
University of Rochester · USUniversity of California, Davis · US

Funding

The Impact of HMO's on DispartiesR01HS010910 · AHRQ · UNIVERSITY OF ROCHESTER · PI FISCELLA, KEVIN · 2002 to 2004
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AHRQ HHS R01 HS010910AHRQ HHS R01 HS 10910-01A2
6 · The paper itself

Abstract

backgroundLittle is known about racial disparities in primary care at the level of the office visit.

objectiveTo assess racial disparities in the receipt of commonly performed/recommended procedures during routine primary care office visits and examine trends in disparities over time. DESIGN, SETTING, AND PATIENTS: The sample included 88,303 visits by adults to 3,260 primary care physicians in office-based practices in the National Ambulatory Medical Care Surveys, 1985, 1989, 1990, 1991, 1992, and 1995 to 2001. MEASUREMENTS: Adjusted odds for receipt or recommendation of commonly performed office procedures.

resultsDuring the years 1985 to 2001, African Americans, compared with whites, had lower odds of receiving a Pap test (odds ratio (OR) 0.81; 95% confidence interval (CI) 0.70 to 0.93), rectal exam (OR 0.67; 95% CI 0.56 to 0.80), smoking cessation counseling (OR 0.80; 95% CI 0.66 to 0.96), and mental health advice (OR 0.51; 95% CI 0.38 to 0.69), but had higher odds for visual screening (OR 1.38; 95% CI 1.08 to 1.77), weight advice counseling (OR 1.27; 95% CI 1.13 to 1.44) and receiving a follow-up appointment (OR 1.45; 95% CI 1.29 to 1.64). These findings were not appreciably altered by adjustment for physician practice characteristics including percent African American or Medicaid patients. Disparities disfavoring African Americans in cholesterol testing and smoking cessation observed during 1985 to 1992 were not observed in 1995 to 2001.

conclusionsThe findings suggest that race is associated with the type of primary care received by patients, at least for selected procedures, with evidence that some disparities have diminished over time.

Indexed as

Black or African AmericanDiagnosis-Related GroupsDiagnostic Techniques and ProceduresFemaleHealth Care SurveysHumansMaleMiddle AgedOdds RatioOffice VisitsPractice Patterns, Physicians'Primary Health CareRisk AdjustmentWhite People

Identifiers

PMID16050853
PMCPMC1490148
OpenAlexW1996130213

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.