Evidence map›Paper›PMID 18370966›Full record

ArticleHealth services research2008

Testing for statistical discrimination by race/ethnicity in panel data for depression treatment in primary care.

Thomas G McGuire, John Z Ayanian, Daniel E Ford, Rachel E M Henke, Kathryn M Rost, Alan M Zaslavsky

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01156610 (Tobacco Treatment Outreach to Reduce Disparities for Primary Care Populations), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
14.3field-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.

NCT01156610 nacompletednot on this mapstarted 2011, after this paper: background citation

Tobacco Treatment Outreach to Reduce Disparities for Primary Care Populations

TypeinterventionalSponsorBrigham and Women's HospitalRan2011 to 2014Enrolled706ConditionsSmoking, Smoking CessationArmsTobacco Treatment
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 43 citations in OpenAlex.

  1. Physician clinical information technology and health care disparities.Medical care research and review : MCRR · 2009
    Trial
  2. Article
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  6. Review
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  12. Article
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  14. Implicit bias among physicians.Journal of general internal medicine · 2009
    Article
  15. Article
  16. Disparities in detection and treatment history among mothers with major depression in Los Angeles.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Thomas G McGuireDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA.
John Z Ayanian
Daniel E Ford
Rachel E M Henke
Kathryn M Rost
Alan M Zaslavsky
Harvard University · USBrigham and Women's Hospital · USFlorida State University · USJohns Hopkins University · US

Funding

Project 1: Improving Clinical Assessment of Diagnosis for Latinos (261-295)P50MH073469 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI ALEGRIA, MARGARITA · 2005 to 2009
$4.6M
Economics of Racial &Ethnic Disparities in MH ServicesR01MH068260 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI MCGUIRE, THOMAS G. · 2004 to 2005
$804k
NIMH NIH HHS P50 MH073469NIMH NIH HHS R01 MH068260
6 · The paper itself

Abstract

objectiveTo test for discrimination by race/ethnicity arising from clinical uncertainty in treatment for depression, also known as "statistical discrimination." DATA SOURCES: We used survey data from 1,321 African-American, Hispanic, and white adults identified with depression in primary care. Surveys were administered every six months for two years in the Quality Improvement for Depression (QID) studies. STUDY

designTo examine whether and how change in depression severity affects change in treatment intensity by race/ethnicity, we used multivariate cross-sectional and change models that difference out unobserved time-invariant patient characteristics potentially correlated with race/ethnicity. DATA COLLECTION/EXTRACTION

methodsTreatment intensity was operationalized as expenditures on drugs, primary care, and specialty services, weighted by national prices from the Medical Expenditure Panel Survey. Patient race/ethnicity was collected at baseline by self-report. PRINCIPAL

findingsChange in depression severity is less associated with change in treatment intensity in minority patients than in whites, consistent with the hypothesis of statistical discrimination. The differential effect by racial/ethnic group was accounted for by use of mental health specialists.

conclusionsEnhanced physician-patient communication and use of standardized depression instruments may reduce statistical discrimination arising from clinical uncertainty and be useful in reducing racial/ethnic inequities in depression treatment.

Indexed as

Primary Health CareAdolescentAdultAgedAntidepressive AgentsBlack or African AmericanCross-Sectional StudiesDepressionFemaleHealthcare DisparitiesHealth ExpendituresHealth StatusHispanic or LatinoHumansMaleMiddle AgedAntidepressive Agents

Identifiers

PMID18370966
PMCPMC2442383
OpenAlexW2033542154

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.