Evidence map›Paper›PMID 25759240›Full record

ArticleHealth services research2015

Where You Live Matters: Quality and Racial/Ethnic Disparities in Schizophrenia Care in Four State Medicaid Programs.

Marcela Horvitz-Lennon, Rita Volya, Rachel Garfield, Julie M Donohue, Judith R Lave, Sharon-Lise T Normand

Abstract read
In one paragraph

Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Drug-dispensing limits within Medicaid during the COVID-19 pandemic.Journal of managed care & specialty pharmacy · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. 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.

Marcela Horvitz-LennonRAND Corporation, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA.
Rita VolyaDepartment of Health Care Policy, Harvard Medical School, Boston, MA.
Rachel GarfieldKaiser Family Foundation, Washington, DC.
Julie M DonohueDepartment of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Judith R LaveDepartment of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Sharon-Lise T NormandDepartment of Health Care Policy, Harvard Medical School, Boston, MA.

Funding

An In-Depth Investigation of Racial & Ethnic Disparities in Schizophrenia CareR01MH087488 · NIMH · RAND CORPORATION · PI HORVITZ-LENNON, MARCELA V, NORMAND, SHARON-LISE TERESA · 2010 to 2012
$1.6M
NIMH NIH HHS R01 MH087488NIMH NIH HHS R01MH087488
6 · The paper itself

Abstract

objectiveTo determine whether (a) quality in schizophrenia care varies by race/ethnicity and over time and (b) these patterns differ across counties within states. DATA SOURCES: Medicaid claims data from California, Florida, New York, and North Carolina during 2002-2008. STUDY

designWe studied black, Latino, and white Medicaid beneficiaries with schizophrenia. Hierarchical regression models, by state, quantified person and county effects of race/ethnicity and year on a composite quality measure, adjusting for person-level characteristics. PRINCIPAL

findingsOverall, our cohort included 164,014 person-years (41-61 percent non-whites), corresponding to 98,400 beneficiaries. Relative to whites, quality was lower for blacks in every state and also lower for Latinos except in North Carolina. Temporal improvements were observed in California and North Carolina only. Within each state, counties differed in quality and disparities. Between-county variation in the black disparity was larger than between-county variation in the Latino disparity in California, and smaller in North Carolina; Latino disparities did not vary by county in Florida. In every state, counties differed in annual changes in quality; by 2008, no county had narrowed the initial disparities.

conclusionsFor Medicaid beneficiaries living in the same state, quality and disparities in schizophrenia care are influenced by county of residence for reasons beyond patients' characteristics.

Indexed as

AdultAge FactorsBlack or African AmericanEthnicityFemaleHealthcare DisparitiesHealth StatusHispanic or LatinoHumansMaleMedicaidMiddle AgedQuality of Health CareRacial GroupsResidence CharacteristicsSchizophreniageographic variationMedicaidquality of careracial/ethnic disparitiesschizophrenia

Identifiers

PMID25759240
PMCPMC4600368

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Registered trials

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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.