Specialty care use in US patients with chronic diseases

Int J Environ Res Public Health. 2010 Mar;7(3):975-90. doi: 10.3390/ijerph7030975. Epub 2010 Mar 10.

Abstract

Despite efforts to eliminate health disparities, racial, ethnic, and geographic groups continue lag behind their counterparts in health outcomes in the United States. The purpose of this study is to determine variation in specialty care utilization by chronic disease status. Data were extracted from the Commonwealth Fund 2006 Health Care Quality Survey (n = 2475). A stratified minority sample design was employed to ensure a representative sample. Logistic regression was used in analyses to predict specialty care utilization in the sample. Poor perceived health, minority status, and lack of insurance was associated with reduced specialty care use and chronic disease diagnosis.

Keywords: chronic disease; health disparities; specialty care.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Chronic Disease / therapy*
  • Female
  • Health Services Accessibility
  • Humans
  • Male
  • Medicine*
  • Middle Aged
  • United States
  • Young Adult