Evidence map›Paper›PMID 40110657›Full record

ArticleHealth services research2025

Does Low-Value Care Explain Health Care Utilization Inequities Among Asian and Latino Populations?

Sungchul Park, Jie Chen, Arturo Vargas Bustamante, Alexander N Ortega

Abstract read
In one paragraph

Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Sungchul ParkDepartment of Health Policy and Management, College of Health Science, Korea University, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-7546-9685
Jie ChenDepartment of Health Policy and Management, School of Public Health, University of Maryland, College Park, Maryland, USA.
Arturo Vargas BustamanteDepartment of Health Policy and Management, Fielding School of Public Health, UCLA, UCLA Latino Policy and Politics Institute, Los Angeles, California, USA.ORCID https://orcid.org/0000-0003-0414-5015
Alexander N OrtegaThompson School of Social Work and Public Health, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA.ORCID https://orcid.org/0000-0001-6861-6993

Funding

The impact of hospital-based health information technology on health care quality and equity among patients with ADRDRF1AG083175 · NIA · UNIV OF MARYLAND, COLLEGE PARK · PI CHEN, JIE · 2023 to 2023
$1.9M
Effect of Hospital and Community Care Coordination on Health Care Quality and Equity among Individuals with Risk Factors or Diagnosis of ADRDR01AG062315 · NIA · UNIV OF MARYLAND, COLLEGE PARK · PI CHEN, JIE · 2021 to 2023
$1.5M
NIA NIH HHS R01 AG062315NIA NIH HHS R01AG062315NIA NIH HHS RF1 AG083175NIA NIH HHS RF1AG083175
6 · The paper itself

Abstract

objectivesTo examine differences in the utilization of low-value care among Asian and Latino subpopulations compared to the White population. STUDY SETTING AND

designWe analyzed data from a repeated cross-sectional national survey. DATA SOURCES AND ANALYTICAL SAMPLE: Our sample included a non-Latino White population and Asian and Latino subpopulation groups using data from the 2013-2021 Medical Expenditure Panel Survey. PRINCIPAL

findingsAsian and Latino subpopulations used health care services less frequently than the White population, with adjusted differences ranging from -3.2% points (95% CI: -3.9, -2.4) to -9.4 (-10.1, -8.7) for outpatient visits, -5.2 (-5.9, -4.5) to -12.4 (-15.2, -9.6) for office-based provider visits, and -5.2 (-6.7, -3.8) to -19.1 (-21.6, -16.7) for prescription drug fills. Although certain low-value services were reported less among Asian and Latino subpopulations, there were no differences in almost six out of twelve services when compared to the White population. These patterns were notable among Asian subpopulations (Indians, Chinese, Filipinos, and other Asians). Additionally, Asian and Latino subpopulation groups had distinct patterns in the use of low-value care. Compared to the White population, Asian subpopulation groups had lower utilization of low-value medications including benzodiazepines for depression (-11.5 [-15.1, -8.0] to -13.8 [-24.4, -3.3]) and opioids for back pain (-4.4 [-8.5, -0.3] to -10.1 [-13.6, -6.7]). Latino subpopulation groups had higher utilization of low-value cervical cancer screening (5.7 [3.0-8.4] to 24.5 [16.9-32.1]) and lower utilization of magnetic resonance imaging/computed tomography for back pain (-1.6 [-2.4, -0.8] to -4.9 [-7.1, -2.6]) than the White population.

conclusionsDespite lower overall health care utilization, Asian and Latino subpopulations do not necessarily use the low-value care examined in this study less than the White population. This suggests that lower overall health care utilization among Asian and Latino subpopulations may not solely be attributed to lower use of low-value care.

Indexed as

AsianHealthcare DisparitiesHispanic or LatinoPatient Acceptance of Health CareAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedUnited StatesWhiteethnicityhealth disparityhealth inequitylow‐value carerace

Identifiers

PMID40110657
PMCPMC12277110

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