Racial/Ethnic Differences in Medicare Experiences and Immunization

• DOI: 10.1097/mlr.0b013e31829c8d77
• Publication Date: 2013-06-26T11:18:46Z
• Authors: Nate Orr; Marc N. Elliott; Q. Burkhart; Amelia Haviland; Robin M. Weinick
• Keywords: Aged, 80 and over; Male; Time Factors; Health Status; Racial Groups; Middle Aged; Medicare; Health Services Accessibility; United States; 3. Good health; 03 medical and health sciences; Mental Health; 0302 clinical medicine; Residence Characteristics; Ethnicity; Educational Status; Humans; Female; Immunization; Healthcare Disparities; Aged

Although Medicare provides beneficiaries with primary access to the health care system, racial/ethnic disparities in experiences and preventive are well documented population.To investigate disease burden its possible impact on for measures of secondary tertiary care, such as plan information, obtaining recommended a timely manner, immunization.A total 355,874 over age 64 years who responded 2008 Consumer Assessment Healthcare Providers Systems (CAHPS) survey.We fit series linear, case-mix adjusted models predicting CAHPS patient experience immunization from race/ethnicity, 0 6 count burden, their interaction.Disparities between non-Hispanic whites other groups largest among no major conditions. Disparities getting quickly mitigated at higher levels burden. persist information one's plan.Whites have better overall than absence immunizations smaller greater perhaps function integration into system gained through management issues. These results underscore importance outreach minorities low utilization few or