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The impact of health service use on racial differences in mortality among the elderly
Author(s)Darren E Sherkat, Barbara S Kilbourne, Van A Cain
Journal titleResearch on Aging, vol 29, no 3, May 2007
Pagespp 207-224
KeywordsBlack people ; White people ; Health services ; Usage [services] ; Economic status [elderly] ; Ill health ; Comparison ; United States of America.
AnnotationBlack-White differences in rates of mortality and mortality associated with specific diagnoses were investigated in relation to socio-economic conditions, patterns of morbidity and health service use. Accordingly, longitudinal data from the Center for Medicare and Medicaid Services (CMS) Physician billing data and Medicare Enrollment Database (EDB) were analysed for 665887 Medicaid beneficiaries in Tennessee, using proportional hazards models. Racial differences in physician visits explain the largest portion of mortality differentials between Black Americans and Whites. Race disparities in mortality associated with particular forms of morbidity are also partly a function difference in health service use. The authors' findings suggest that Black-White mortality differences could be narrowed by increasing Black Americans' access to physician services. (RH).
Accession NumberCPA-070516203 A
ClassmarkTKE: TKA: L: QLD: F:W: CH: 48: 7T

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