ArticleInquiry : a journal of medical care organization, provision and financing
Neighborhood Environment and Disparities in Health Care Access Among Urban Medicare Beneficiaries With Diabetes: A Retrospective Cohort Study.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Access to Primary Care and Nephrology: Implications for Preemptive Listing and Kidney Transplantation, A National Registry Study.Journal of general internal medicine · 2026Article
- Article
- From inequalities to solutions: an explanatory sequential study on type 2 diabetes health services utilization.BMC health services research · 2025Article
- Acculturation and Disparities in Telemedicine Readiness: A National Study.International journal of aging & human development · 2024Article
- A Scoping Review of Possible Solutions for Decreasing Socioeconomic Inequalities in Type 2 Diabetes Mellitus.International journal of preventive medicine · 2024Article
- Racial Disparities in Diabetes-Related Emergency Department Visits and Hospitalizations Among Cancer Survivors.JCO oncology practice · 2022Article
- The Effect of Neighborhood Deprivation on Mortality in Newly Diagnosed Diabetes Patients: A Countrywide Population-Based Korean Retrospective Cohort Study, 2002-2013.International journal of environmental research and public health · 2022Article
- Racial Inequality in Prescription Opioid Receipt - Role of Individual Health Systems.The New England journal of medicine · 2021Article
- Metropolitan age-specific mortality trends at borough and neighborhood level: The case of Mexico City.PloS one · 2021Article
- Access to Home and Community Health Services for Older Adults With Serious, Life-Limiting Illness: A Study Protocol.The American journal of hospice & palliative care · 2021Article
- Individual and Environmental Determinants of Provider Continuity Among Urban Older Adults With Heart Failure: A Retrospective Cohort Study.Gerontology & geriatric medicineArticle
- Physical Health Problems Among People With Severe Mental Illnesses: Race, Gender, and Implications for Practice.Journal of the American Psychiatric Nurses AssociationArticle
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Authors and funding
2 authors.
Funding
Abstract
Older adults' health is sensitive to variations in neighborhood environment, yet few studies have examined how neighborhood factors influence their health care access. This study examined whether neighborhood environmental factors help to explain racial and socioeconomic disparities in health care access and outcomes among urban older adults with diabetes. Data from 123 233 diabetic Medicare beneficiaries aged 65 years and older in New York City were geocoded to measures of neighborhood walkability, public transit access, and primary care supply. In 2008, 6.4% had no office-based "evaluation and management" (E&M) visits. Multilevel logistic regression indicated that this group had greater odds of preventable hospitalization in 2009 (odds ratio = 1.31; 95% confidence interval: 1.22-1.40). Nonwhites and low-income individuals had greater odds of a lapse in E&M visits and of preventable hospitalization. Neighborhood factors did not help to explain these disparities. Further research is needed on the mechanisms underlying these disparities and older adults' ability to navigate health care. Even in an insured population living in a provider-dense city, targeted interventions may be needed to overcome barriers to chronic illness care for older adults in the community.
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