Evidence map›Paper›PMID 32493469›Full record

ArticleBMC health services research2020

Identifying disparities in patient-centered care experiences between non-Latino white and black men: results from the 2008-2016 Medical Expenditure Panel Survey.

Jamie A Mitchell, Ed-Dee G Williams, Yuyi Li, Wassim Tarraf

Abstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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  13. Community Perceptions of Health Equity: A Qualitative Study.Journal of primary care & community health
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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

4 authors.

Jamie A MitchellSchool of Social Work, University of Michigan, Ann Arbor, MI, USA.
Ed-Dee G WilliamsSchool of Social Work, University of Michigan, Ann Arbor, MI, USA.
Yuyi LiDepartment of Electrical and Computer Engineering, University of Detroit Mercy, Detroit, MI, USA.
Wassim TarrafInstitute of Gerontology, Wayne State University, Detroit, MI, USA. wassim.tarraf@wayne.edu.

Funding

Michigan Center for Urban African American Aging Research - RESEARCH CORE (REC)P30AG015281 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jaymia Ann Mitchell · 1997 to 2026
$19.3M
Research Enhancement for BUILDing Detroit (ReBUILDetroit)TL4GM118983 · NIGMS · UNIVERSITY OF DETROIT MERCY · PI BRYANT-FRIEDRICH, AMANDA C, SNYDER, KATHERINE E · 2015 to 2023
$17.0M
Research Enhancement for BUILDing Detroit (ReBUILDetroit)UL1GM118982 · NIGMS · UNIVERSITY OF DETROIT MERCY · PI SNYDER, KATHERINE E · 2015 to 2023
$10.8M
Research Enhancement for BUILDing Detroit (ReBUILDetroit)RL5GM118981 · NIGMS · UNIVERSITY OF DETROIT MERCY · PI BRYANT-FRIEDRICH, AMANDA C, SNYDER, KATHERINE E · 2015 to 2023
$4.8M
NIA NIH HHS 5P30 AG015281NIGMS NIH HHS TL4 GM118983NIGMS NIH HHS UL1 GM118982NIH HHS RL5GM118981NIH HHS TL4GM118983NIH HHS UL1GM118982
6 · The paper itself

Abstract

backgroundPatient-centered healthcare in the context of a medical home (PCMH) is an important pathway to reducing healthcare inequities. To date, no work has examined the prevalence of care experiences associated with PCMH among non-elderly Black males.

methodsWe analyzed data, on 22 indicators representative of six healthcare domains associated with PCMH experiences, from non-Latino White (NLW) and Black males aged 18-64 from the 2008-2016 Medical Expenditure Panel Survey (n = 47,405). We used generalized linear models to test whether Behavioral Model factors attenuate any differences in access to these domains between NLW and Black males, and decomposition techniques to examine the contribution of these factors to reported differences.

resultsBlack males reported 1) lower access to personal primary care providers, 2) poorer quality communication with providers, and 3) lower levels of care comprehensiveness (all p < 0.05). Differences between groups were attenuated but not eliminated by accounting for the Behavioral Model factors particularly through enabling and predisposing factors. Group health characteristics were not a primary driver of racial differences in care experiences across all the considered domains.

conclusionsBlack men, in the U.S, continue to face barriers to accessing high quality, patient-centered care, specifically as it relates to accessing specialty care, medical tests, and patient-provider communication.

Indexed as

AdolescentAdultBlack or African AmericanHealthcare DisparitiesHealth Care SurveysHealth ExpendituresHumansMaleMiddle AgedPatient-Centered CareUnited StatesWhite PeopleYoung AdultGenderMinorityPatient-centeredPrimary care

Identifiers

PMID32493469
PMCPMC7268709

What OpenQuestion holds

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LicenceCC BY
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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.