Pathways to access: Health insurance, the health care delivery system, and racial/ethnic disparities, 1996-1999

Health Affairs

Volumn 22, Issue 2, 2003, Pages 139-153

  Zuvekas, Samuel H ^a   Taliaferro, Gregg S ^a  

^a AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AFRICAN AMERICAN; ARTICLE; CAUCASIAN; COMPARATIVE STUDY; ECONOMICS; EMPIRICAL APPROACH; EPIDEMIOLOGY; ETHNOLOGY; HEALTH CARE AND PUBLIC HEALTH; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH SERVICE; HISPANIC; HUMAN; INSURANCE; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PATIENT ATTITUDE; RACE; REGRESSION ANALYSIS; SOCIOECONOMICS; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

EMPIRICAL APPROACH; HEALTH CARE AND PUBLIC HEALTH;

AFRICAN AMERICANS; CONTINENTAL POPULATION GROUPS; EUROPEAN CONTINENTAL ANCESTRY GROUP; HEALTH CARE SURVEYS; HEALTH EXPENDITURES; HEALTH SERVICES; HEALTH SERVICES ACCESSIBILITY; HISPANIC AMERICANS; HUMANS; INSTITUTE OF MEDICINE (U.S.); INSURANCE SELECTION BIAS; PATIENT ACCEPTANCE OF HEALTH CARE; QUALITY ASSURANCE, HEALTH CARE; REGRESSION ANALYSIS; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 0037361825     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.22.2.139     Document Type: Review

References (26)

1. R.M. Weinick, S.H. Zuvekas, and S.K. Drilea, Access to Health Care - Sources and Barriers, 1996, MEPS Research Findings no. 3, Pub. no. 98-0001 (Rockville, Md.: Agency for Healthcare Research and Quality, 1997);
2. and N.A. Krause, S. Machlin, and B.L. Kass, Use of Health Services, 1996, MEPS Research Findings no. 7, Pub. no. 99-0018 (Rockville, Md.: AHRQ, 1999).
3. U.S. Department of Health and Human Services, Healthy People 2010: Understanding an Improving Health, 2d ed. (Washington: U.S. Government Printing Office, November 2000).
4. Institute of Medicine, Crossing the Quality Chasm: A New Health System for the Twenty-first Century (Washington: National Academy Press, 2001).
5. L. Ammons, "Demographic Profile of Health-Care Coverage in America in 1993," Journal of the National Medical Association 89, no. 11 (1997): 737-744;
6. P.W. Newachek, D.C. Hughes, and J.J. Stoddard, "Children's Access to Primary Care: Differences by Race, Income, and Insurance Status," Pediatrics 97, no. 1 (1996): 26-32;
7. and S.H. Long, "Public versus Employment-Related Health Insurance: Experience and Implications for Black and Non-Black Americans," Milbank Quarterly 65, Suppl. 1 (1987): 200-212.
8. P.F. Cooper and B.S. Schone, "More Offers, Fewer Takers for Employment-Based Health Insurance, 1987-1996," Health Affairs (Nov/Dec 1997): 142-149.
9. R.M. Weinick, S.H. Zuvekas, and J.W. Cohen, "Racial and Ethnic Differences in Access and Use of Health Care Services, 1977-1996," Medical Care Research and Review 57, Suppl. 1 (2000): 36-54;
10. and S.H. Zuvekas and R.M. Weinick, "Changes in Access to Care, 1977-1996: The Role of Health Insurance," Part II, Health Services Research (April 1999): 271-279.
11. S.H. Zuvekas and R.M. Weinick, Health Services Research 1999): 271-279. Ibid.
12. S.H. Zuvekas and R.M. Weinick, Health Services Research 1999): 271-279. Ibid.
13. Cooper and Schone, "More Offers, Fewer Takers";
14. and A.C. Monheit and J.P. Vistnes, "Race/Ethnicity and Health Insurance Status: 1987 and 1996," Medical Care Research and Review 57, Suppl. 1 (2000): 11-35.
15. J.W. Cohen et al., "The Medical Expenditure Panel Survey: A National Health Information Resource," Inquiry 33, no. 4 (1996): 373-389.
16. R.L. Oaxaca, "Male-Female Wage Differentials in Urban Labor Markets," International Economic Review 14, no. 3 (1973): 693-709;
17. and A. Blinder, "Wage Discrimination - Reduced Form and Structural Estimates," Journal of Human Resources 8, no. 4 (1973): 436-455.
18. See R. Oaxaca and M.R. Ransom, "Identification in Detailed Wage Decompositions," Review of Economics and Statistics (February 1999): 154-157.
19. We do not consider adults ages 18-24 here because of their much more complicated dynamics related to transitions from childhood to their own families and from school to the workforce. Adults ages 55-64 present a different set of complexities related to retirement decisions that are outside the scope of this paper.
20. Weinick et al., "Racial and Ethnic Differences."
21. Weinick et al., Racial and Ethnic Differences Ibid.
22. The vast majority of employers that offer health insurance coverage in the United States offer family coverage (according to unpublished MEPS-Insurance Component data).
23. A detailed discussion of differences in the (higher) take-up rates reported here and elsewhere in the literature is available from the authors. Send e-mail to Sam Zuvekas at szuvekas@ahrq.gov.
24. Monheit and Vistnes, "Race/Ethnicity and Health Insurance Status."
25. Weinick et al., "Racial and Ethnic Differences";
26. and Zuvekas and Weinick, "Changes in Access to Care, 1977-1996."