MEPS Study: Why Does Place Matter

MEPS 研究：为什么地点很重要

• 批准号: 8663612
• 负责人: Darrell J. Gaskin
• 金额: $ 6.62万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8663612
• 关键词: Address; American Hospital Association; American Medical Association; Americas; Businesses; Capital; Cardiac; Caring; Censuses; Characteristics; Communities; Community Surveys; Data; Databases; Deposition; Diabetes Mellitus; Expenditure; Health; Health Care Visit; Health Personnel; Health Status; Health education; Healthcare; Hospitals; Individual; Insurance; Investments; Life; Link; Literature; Measures; Medical; Mental Health; Mental Health Services; Minority; Neighborhoods; Patients; Persons; Physicians; Policies; Primary Health Care; Public Policy; Publishing; Research; Research Project Grants; Services; Solutions; Source; Surveys; Time; Training; U.S. Department of Housing and Urban Development; Variant; base; demographics; health care service utilization; health disparity; prevention service; programs; racial and ethnic; racial and ethnic disparities; segregation

Why Does Place Matter? - The association between residential segregation and racial disparities in health is well documented. Our prior research at the HCHDS extended the research literature by finding an association between residential segregation and healthcare utilization. Using data from the 2006 Medical Expenditure Panel Survey, we found that persons living in minority communities had less access to physician care, and used fewer physician, non-physician, mental health, cardiac and diabetes services compared to persons living in majority white communities. However, beyond the racial and ethnic composition of communities little is known about the mechanisms that govern these associations. This project seeks to describe the relationship between "place" and racial disparities in healthcare use. We want to advance our research by understanding the dynamics of "place". What are the characteristics of minority communities that produce disparities in health and healthcare use? This research project proposes three specific aims to answer the question: Why does place matter? Specific Aim 1) To determine if the association between the racial/ethnic composition of neighborhoods and healthcare use can be explained by variations in healthcare provider availability. Specific Aim 2) To examine whether the healthcare use of individuals changes as the racial/ethnic composition of their census tracts changes over time. Specific Aim 3) To determine whether the level of private investment in a community impacts health and healthcare utilization.

为什么地点很重要？-居住隔离与健康方面的种族差异之间的关系有据可查。我们之前在HCHDS的研究通过发现居住隔离和医疗保健利用之间的关系扩展了研究文献。利用2006年医疗支出小组调查的数据，我们发现，与生活在多数白人社区的人相比，生活在少数族裔社区的人获得医生护理的机会较少，使用医生、非医生、心理健康、心脏病和糖尿病服务的次数也较少。然而，除了社区的种族和民族组成之外，人们对控制这些联系的机制知之甚少。该项目旨在描述“地点”与医疗保健使用中的种族差异之间的关系。我们想要的