Exploring the determinants of racial and ethnic disparities in total knee arthroplasty: Health insurance, income, and assets

Medical Care

Volumn 46, Issue 5, 2008, Pages 481-488

  Hanchate, Amresh D ^a   Zhang, Yuqing ^a   Felson, David T ^a   Ash, Arlene S ^a  

^a BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Access constraints; Insurance; Out of pocket costs; Racial and ethnic disparity; Total knee arthroplasty

Indexed keywords

AGED; ARTICLE; COMORBIDITY; ECONOMICS; ETHNIC GROUP; FEMALE; HEALTH CARE DELIVERY; HEALTH INSURANCE; HUMAN; INCOME; KNEE ARTHROPLASTY; LONGITUDINAL STUDY; MALE; MIDDLE AGED; SEX RATIO; SOCIOECONOMICS; STATISTICAL MODEL; STATISTICS; UNITED STATES;

AGED; AGED, 80 AND OVER; ARTHROPLASTY, REPLACEMENT, KNEE; COMORBIDITY; ETHNIC GROUPS; FEMALE; HEALTHCARE DISPARITIES; HUMANS; INCOME; INSURANCE, HEALTH; LOGISTIC MODELS; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; SEX DISTRIBUTION; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 42549155203     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3181621e9c     Document Type: Article

References (44)

1. HCUPnet. HCUPnet: a tool for identifying, tracking, and analyzing naitonal hospital statistics. 2006. Available at: http://hcup.ahrq.gov. Accessed October 17, 2006.
2. Hawker GA, Wright JG, Coyte PC, et al. Differences between men and women in the rate of use of hip and knee arthroplasty. N Engl J Med. 2000;342:1016-1022.
3. Kane R, Saleh K, Wilt T, et al. Total Knee Replacement. Rockville, MD: Agency for Healthcare Research and Quality; 2003.
4. Mahomed NN, Barrett J, Katz JN, et al. Epidemiology of total knee replacement in the United States Medicare population. J Bone Joint Surg Am. 2005;87:1222-1228.
5. Skinner J, Weinstein JN, Sporer SM, et al. Racial, ethnic, and geographic disparities in rates of knee arthroplasty among Medicare patients. N Engl J Med. 2003;349:1350-1359.
6. Skinner J, Zhou W, Weinstein J. The influence of income and race on total knee arthroplasty in the United States. J Bone Joint Surg Am. 2006;88:2159-2166.
7. Escarce JJ, McGuire TG. Changes in racial differences in use of medical procedures and diagnostic tests among elderly persons: 1986-1997. Am J Public Health. 2004;94:1795-1799.
8. Jha AK, Fisher ES, Li Z, et al. Racial trends in the use of major procedures among the elderly. N Engl J Med. 2005;353:683-691.
9. Hawker GA, Wright JG, Coyte PC, et al. Determining the need for hip and knee arthroplasty: the role of clinical severity and patients' preferences. Med Care. 2001;39:206 -216.
10. Suarez-Almazor ME, Souchek J, Kelly PA, et al. Ethnic variation in knee replacement: patient preferences or uninformed disparity? Arch Intern Med. 2005;165:1117-1124.
11. Chang HJ, Mehta PS, Rosenberg A, et al. Concerns of patients actively contemplating total knee replacement: differences by race and gender. Arthritis Care Res. 2004;51:117-123.
12. Ibrahim SA, Siminoff LA, Burant CJ, et al. Differences in expectations of outcome mediate African American/white patient differences in "willingness" to consider joint replacement. Arthritis Rheum. 2002;46:2429-2435.
13. Ang D, Ibrahim SA, Burant C, et al. Ethnic differences in the perception of prayer and consideration of joint arthroplasty. Med Care. 2002;40:471-476.
14. Ibrahim SA, Siminoff LA, Burant CJ, et al. Variation in perceptions of treatment and self-care practices in elderly with osteoarthritis: a comparison between African American and white patients. Arthritis Rheum. 2001;45:340-345.
15. Collins SR, Davis K, Doty MM, et al. Gaps in Health Insurance: An All-American Problem. Washington, DC: The Commonwealth Fund; 2006.
16. Galbraith AA, Wong ST, Kim SE, et al. Out-of-pocket financial burden for low-income families with children: socioeconomic disparities and effects of insurance. Health Serv Res. 2005;40:1722-1736.
17. Schoen C, Doty MM, Collins SR, et al. Insured but not protected: how many adults are underinsured? Health Aff (Millwood). 2005;Suppl Web Exclusives:W5-289-W5-302.
18. Gornick ME. Disparities in Medicare services: potential causes, plausible explanations, and recommendations. Health Care Financ Rev. 2000;21:23- 43.
19. Weinick RM, Byron SC, Bierman AS. Who can't pay for health care? J Gen Intern Med. 2005;20:504-509.
20. Hawker GA, Wright JG, Glazier RH, et al. The effect of education and income on need and willingness to undergo total joint arthroplasty. Arthritis Rheum. 2002;46:3331-3339.
21. Dunlop DD, Song J, Manheim LM, et al. Racial disparities in joint replacement use among older adults. Med Care. 2003;41:288-298.
22. Mahomed NN, Barrett JA, Katz JN, et al. Rates and outcomes of primary and revision total hip replacement in the United States medicare population. J Bone Joint Surg Am. 2003;85:27-32.
23. National Research Council. Understanding Racial and Ethnic Differences in Health in Late Life: A Research Agenda. Washington, DC: The National Academies Press; 2004.
24. Adler NE, Boyce WT, Chesney MA, et al. Socioeconomic inequalities in health. No easy solution. JAMA. 1993;269:3140-3145.
25. Gross DJ, Alecxih L, Gibson MJ, et al. Out-of-pocket health spending by poor and near-poor elderly Medicare beneficiaries. Health Serv Res. 1999;34:241-254.
26. Currie J, Gruber J. Health insurance eligibility, utilization of medical care, and child health. Q J Econ. 1996;111:431-466.
27. Currie J. The Take Up of Social Benefits. National Bureau of Economic Research, Inc; 2004.
28. Phelps C. Health Economics. Boston, MA: Addison Wesley; 2003.
29. Leacock C, ed. Getting Started with the Health and Retirement Study Version 1.0. Ann Arbor, MI: Health and Retirement Study, University of Michigan; 2006.
30. St Clair P, Bugliari D, Chien S, et al. RAND HRS Data Documentation. Version D. Los Angeles, CA: Rand Center for the Study of Aging; 2004.
31. Hoffmeister M, Chang-Claude J, Brenner H. Validity of self-reported endoscopies of the large bowel and implications for estimates of colorectal cancer risk. Am J Epidemiol. 2007;166:130-136.
32. Phillips K-A, Milne RL, Buys S, et al. Agreement between self-reported breast cancer treatment and medical records in a population-based breast cancer family registry. J Clin Oncol. 2005;23:4679-4686.
33. Schootman M, Jeffe DB, West MM, et al. Self-report by elderly breast cancer patients was an acceptable alternative to surveillance, epidemiology, and end results (SEER) abstract data. J Clin Epidemiol. 2005;58:1316-1319.
34. Green A, Purdie D, Green L, et al. Validity of self-reported hysterectomy and tubal sterilisation. The Survey of Women's Health Study Group. Aust NZ J Public Health. 1997;21:337-340.
35. Smeeding TM, Rainwater L, Burtless G. United States Poverty in a Cross-National Context. Syracuse, NY: Maxwell School of Citizenship and Public Affairs, Syracuse University; 2000.
36. StataCorp. Stata Statistical Software. Release 9. College Station, TX: StataCorp LP; 2005.
37. Schwartz LM, Woloshin S, Welch HG. Misunderstandings about the effects of race and sex on physicians' referrals for cardiac catheterization. N Engl J Med. 1999;341:279-283.
38. U.S. Department of Health and Human Services. Healthy People 2010. McLean, VA: U.S. Department of Health and Human Services; 2000.
39. Kulig K, Bingham CO III, Steele LL. Racial, ethnic, and geographic disparities in rates of knee arthroplasty. N Engl J Med. 2004;350:305-306.
40. Katz JN. Preferences, quality, and the (under)utilization of total joint arthroplasty. Med Care. 2001;39:203-205.
41. Clark JP, Hudak PL, Hawker GA, et al. The Moving target: a qualitative study of elderly patients' decision-making regarding total joint replacement surgery. J Bone Joint Surg Am. 2004;86:1366-1374.
42. Armstrong K, Hughes-Halbert C, Asch DA. Patient preferences can be misleading as explanations for racial disparities in health care. Arch Intern Med. 2006;166:950-954.
43. Levy H, Meltzer D. What do we really know about whether health insurance affects health? In: McLaughlin CG, ed. Health Policy and the Uninsured: Setting the Agenda. Washington, DC: Urban Institute; 2001:179-204.
44. GAO. Means-Tested Programs: Information on Access can be an Important Management Tool. Washington, DC: United States Government Account Office; 2005. GAO-05-221.