ArticleHealth services research2014
Disparities in quality of care among publicly insured adults with schizophrenia in four large U.S. states, 2002-2008.
Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ethnic disparities in clozapine prescription for service-users with schizophrenia-spectrum disorders: a systematic review.Psychological medicine · 2022Pooled it
- Guideline-Concordant Care and Clinician and Clinic Characteristics for Patients With Schizophrenia.JAMA network open · 2025Article
- Race and Ethnicity and Diffusion of Telemedicine in Medicaid for Schizophrenia Care After Onset of the COVID-19 Pandemic.JAMA network open · 2025Article
- Racial-Ethnic Disparities in Quality of Care Among Medicaid Beneficiaries With Schizophrenia.Psychiatric services (Washington, D.C.) · 2024Article
- Income-related disparities in Medicare advantage behavioral health care quality.Health services research · 2023Article
- Statistical Approaches for Quantifying the Quality of Neurosurgical Care.World neurosurgery · 2022Observational
- Significance and Factors Associated with Antipsychotic Polypharmacy Utilization Among Publicly Insured US Adults.Administration and policy in mental health · 2022Article
- Use of behavioral health care in Medicaid managed care carve-out versus carve-in arrangements.Health services research · 2021Article
- Impact of a Mental Health Based Primary Care Program on Quality of Physical Health Care.Administration and policy in mental health · 2018Article
- A decline in depression treatment following FDA antidepressant warnings largely explains racial/ethnic disparities in prescription fills.Depression and anxiety · 2017Article
- Where You Live Matters: Quality and Racial/Ethnic Disparities in Schizophrenia Care in Four State Medicaid Programs.Health services research · 2015Article
- Impact of a mental health based primary care program on emergency department visits and inpatient stays.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo examine racial/ethnic disparities in quality of schizophrenia care and assess the size of observed disparities across states and over time. DATA SOURCES: Medicaid claims data from CA, FL, NY, and NC. STUDY
designObservational repeated cross-sectional panel cohort study of white, black, and Latino fee-for-service adult beneficiaries with schizophrenia. Main outcome was the relationship of race/ethnicity and year with a composite measure of quality of schizophrenia care derived from 14 evidence-based quality indicators. PRINCIPAL
findingsQuality was assessed for 325,373 twelve-month person-episodes between 2002 and 2008, corresponding to 123,496 Medicaid beneficiaries. In 2002, quality was lowest for blacks in all states. With the exception of FL, quality was lower for Latinos than whites. In CA, blacks had about 43 percent of the individual indicators met compared to 58 percent for whites. Quality improved annually for all groups in CA, NY, and NC. While in CA the improvement was slightly larger for Latinos, in FL quality improved for blacks but declined for Latinos and whites.
conclusionsQuality of schizophrenia care is poor and racial/ethnic disparities exist among Medicaid beneficiaries from four states. The size of the disparities varied across the states, and most of the initial disparities were unchanged by 2008.
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