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Medical Care Research and Review
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Article

Measuring Trends in Racial/Ethnic Health Care Disparities

Benjamin Lê Cook*, Thomas G. McGuire, and Samuel H. Zuvekas

* To whom correspondence should be addressed. E-mail: bcook{at}charesearch.org.


  Abstract
Monitoring disparities over time is complicated by the varying disparity definitions applied in the literature. This study used data from the 1996-2005 Medical Expenditure Panel Survey (MEPS) to compare trends in disparities by three definitions of racial/ethnic disparities and to assess the influence of changes in socioeconomic status (SES) among racial/ethnic minorities on disparity trends. This study prefers the Institute of Medicine’s (IOM) definition, which adjusts for health status but allows for mediation of racial/ethnic disparities through SES factors. Black–White disparities in having an office-based or outpatient visit and medical expenditure were roughly constant and Hispanic–White disparities increased for office-based or outpatient visits and for medical expenditure between 1996-1997 and 2004-2005. Estimates based on the independent effect of race/ethnicity were the most conservative accounting of disparities and disparity trends, underlining the importance of the role of SES mediation in the study of trends in disparities.

First published on September 16, 2008, doi:10.1177/1077558708323607

Medical Care Research and Review 2009;66:23.

A more recent version of this article appeared on February 1, 2009
 This version was published on October 8, 2008
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