Evidence map›Paper›PMID 19656228›Full record

ArticleHealth services research2009

Measuring racial/ethnic disparities across the distribution of health care expenditures.

Benjamin Lê Cook, Willard G Manning

Abstract readComparative Study
In one paragraph

Article in Health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
–field-weighted citation impact
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

39 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Effects of Part D Senior Savings Model on healthcare costs among the Medicare population.Journal of pharmaceutical health services research : an official journal of the Royal Pharmaceutical Society of Great Britain · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

2 authors.

Benjamin Lê CookCambridge Health Alliance/Harvard Medical School, Center for Multicultural Mental Health Research, Somerville, MA 02143, USA. bcook@charesearch.org
Willard G Manning

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
Innovations in the Measurement of Racial/Ethnic Disparities in Mental Health CareR03MH082312 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI COOK, BENJAMIN LE · 2008 to 2009
$172k
NIMH NIH HHS P50 MH073469NIMH NIH HHS R03 MH 082312NIMH NIH HHS R03 MH082312PHS HHS P50 MHO 73469
6 · The paper itself

Abstract

objectiveTo assess whether black-white and Hispanic-white disparities increase or abate in the upper quantiles of total health care expenditure, conditional on covariates. DATA SOURCE: Nationally representative adult population of non-Hispanic whites, African Americans, and Hispanics from the 2001-2005 Medical Expenditure Panel Surveys. STUDY

designWe examine unadjusted racial/ethnic differences across the distribution of expenditures. We apply quantile regression to measure disparities at the median, 75th, 90th, and 95th quantiles, testing for differences over the distribution of health care expenditures and across income and education categories. We test the sensitivity of the results to comparisons based only on health status and estimate a two-part model to ensure that results are not driven by an extremely skewed distribution of expenditures with a large zero mass. PRINCIPAL

findingsBlack-white and Hispanic-white disparities diminish in the upper quantiles of expenditure, but expenditures for blacks and Hispanics remain significantly lower than for whites throughout the distribution. For most education and income categories, disparities exist at the median and decline, but remain significant even with increased education and income.

conclusionsBlacks and Hispanics receive significantly disparate care at high expenditure levels, suggesting prioritization of improved access to quality care among minorities with critical health issues.

Indexed as

EthnicityHealthcare DisparitiesHealth ExpendituresHealth Services ResearchHealth StatusHumansRacial GroupsSocioeconomic FactorsUnited States

Identifiers

PMID19656228
PMCPMC2754550

What OpenQuestion holds

Textmetadata
LicenceTDM
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.