Comparing methods of racial and ethnic disparities measurement across different settings of mental health care.
Comparing methods of racial and ethnic disparities measurement across different settings of mental health care.
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DOI：
10.1111/j.1475-6773.2010.01100.x
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发表时间：
2010-06
影响因子：
3.4
通讯作者：
Zaslavsky AM
中科院分区：
文献类型：
--
作者：
Lê Cook B;McGuire TG;Lock K;Zaslavsky AM
以往研究中使用的不同方法和差异定义阻碍了追踪精神卫生保健中种族/民族差异改善的能力。2002-2006年欧洲议会选举中具有全国代表性的白人、黑人和拉丁裔样本。因变量为总、门诊和处方药精神卫生保健支出。将符合IOM医疗保健差异定义的基于秩和倾向分数的方法与常用的差异方法进行比较。为了实现IOM的定义，我们使用两部分GLM对支出进行建模，调整需求变量的分布，并预测每个种族/族裔群体的支出。种族/族裔差异在所有支出措施中都很重要。从国际移民组织一致性方法估计的差异彼此相似，但比使用种族/民族残余效应的方法更大。在每个类别的任何支出中都发现了黑人-白人和拉丁裔-白人的差异，拉丁裔-白人在使用条件支出方面的差异很大。调查结果显示，黑人在获得教育机会方面存在差异，拉丁美洲人在获得教育机会和支出方面存在差异，这表明有必要继续采取旨在减少差距的政策努力。在这些数据中，基于倾向分数的方法和排序替代方法是执行IOM差距定义的精确和充分的方法。
The ability to track improvement against racial/ethnic disparities in mental health care is hindered by the varying methods and disparity definitions used in previous research. Nationally representative sample of Whites, Blacks, and Latinos from the 2002–2006 MEPS. Dependent variables are total, outpatient, and prescription drug mental health care expenditure. Rank- and propensity score-based methods concordant with the IOM definition of healthcare disparities were compared with commonly used disparities methods. To implement the IOM definition, we modeled expenditures using a two-part GLM, adjusted distributions of need variables, and predicted expenditures for each racial/ethnic group. Racial/ethnic disparities were significant for all expenditure measures. Disparity estimates from the IOM-concordant methods were similar to one another but greater than a method using the residual effect of race/ethnicity. Black-White and Latino-White disparities were found for any expenditure in each category and Latino-White disparities were significant in expenditure conditional on use. Findings of disparities in access among Blacks and disparities in access and expenditures after initiation among Latinos suggest the need for continued policy efforts targeting disparities reduction. In these data, the propensity score-based method and the rank-and-replace method were precise and adequate methods of implementing the IOM definition of disparity.
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影响因子：
3.5
作者：
Balsa, Ana I.;Cao, Zhun;McGuire, Thomas G.
通讯作者：
McGuire, Thomas G.
影响因子：
120.7
作者：
Braddock, CH;Edwards, KA;Levinson, W
通讯作者：
Levinson, W
影响因子：
3.8
作者：
Alegria, Margarita;Chatterji, Pinka;Meng, Xiao-Li
通讯作者：
Meng, Xiao-Li
DOI：
10.1007/s10742-008-0039-6
发表时间：
2009-03-01
影响因子：
1.5
作者：
Cook, Benjamin L;McGuire, Thomas G;Meara, Ellen;Zaslavsky, Alan M
通讯作者：
Zaslavsky, Alan M
影响因子：
5.7
作者：
Ashton, CM;Haidet, P;Street, RL
通讯作者：
Street, RL