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Racial and ethnic variations in office-based medical care work-related injuries and illnesses.

Authors
Dembe-AE; Savageau-JA; Amick-B III; Banks-SM
Source
J Natl Med Assoc 2005 Apr; 97(4):498-507
NIOSHTIC No.
20026654
Abstract
This exploratory study uses nationally representative data to evaluate the extent to which ambulatory care for work-related conditions varies by patients' race and ethnicity. Methods: Using the National Ambulatory Medical Care Survey (NAMCS) for 1997 and 1998, we describe medical care for work-related conditions, stratifying by whether the patient self-identified as African-American, white, Hispanic and/or non-Hispanic. Multivariate regression analyses were conducted to evaluate the impact of patient race and ethnicity on care, controlling for age, gender, geographical region and MSA (urban/rural) status. Compared to white patients, African-American patients were more likely to receive mental health counseling and physical therapy and less likely to see a nurse, after controlling for age, gender, geographical region and MSA status. Hispanic patients were more likely to receive x-rays and need insurer authorization for care and less likely to receive a prescription drug or to see a physician, compared to non-Hispanics. This is the nation's first study to describe socially based differences in medical care provided for patients with work-related injuries and illnesses. Identifying areas in which these variations in care exist is a critical first step in ensuring that equitable care is afforded to all injured workers.
Keywords
Racial-factors; Demographic-characteristics; Workers; Medical-care; Medical-facilities; Worker-health; Work-environment; Injuries; Age-factors; Sex-factors; Physical-therapy; Mental-health; Health-care; X-ray-analysis; Occupational-medicine
Contact
Allard E. Dembe, ScD, Associate Professor and Senior Research Scientist, Center for Health Policy and Research, University of Massachusetts Medical School, 222 Maple Ave, Higgins Building, Shrewsbury, MA 01545
CODEN
JNMAAE
Publication Date
20050401
Document Type
Journal Article
Email Address
Allard.Dembe@umassmed.edu
Funding Amount
234000
Funding Type
Grant
Fiscal Year
2005
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R21-OH-007322
Issue of Publication
4
ISSN
0027-9684
Priority Area
Research Tools and Approaches: Health Services Research
Source Name
Journal of the National Medical Association
State
MA; TX
Performing Organization
University of Massachusetts Medical School, Shrewsbury, Massachusetts
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