Racial and Social Disparities in Health and Health Care Delivery among Patients with Parkinson's Disease and Related Disorders in a Multiracial Clinical Setting.
Disease
Health equity
Healthcare access
Parkinson’s racial disparities
Journal
Journal of cross-cultural gerontology
ISSN: 1573-0719
Titre abrégé: J Cross Cult Gerontol
Pays: Netherlands
ID NLM: 8700909
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
accepted:
08
08
2021
pubmed:
17
8
2021
medline:
11
9
2021
entrez:
16
8
2021
Statut:
ppublish
Résumé
There are racial and socioeconomic disparities in the care of patients with Parkinson's disease (PD). Bellevue Hospital Center (BHC) in New York City is the oldest public hospital in the United States providing care to a multiracial, socioeconomically diverse and medically underserved population. We investigated racial and social disparities in providing care to patients with PD and related disorders at BHC compared to a NYU Langone Health, a Parkinson's Foundation Center of Excellence. Retrospective chart review of patients with diagnosis of PD or PD-related disorders evaluated at BHC or at NYU outpatient clinics from January 2012 to August 2017. 100 patients were enrolled from each site: BHC (55% men); NYU (49% men). The majority of patients at NYU were White (77%), compared to 14% at BHC; Hispanic patients comprised the majority at BHC (56%) (p < 0.001). BHC patients had more clinic visits per year compared to the NYU cohort (2.88 vs. 2.40, p = 0.001). BHC patients were less likely to self-report exercise (p = 0.047) or participation in physical therapy (p = 0.015). There were no clinically significant differences in diagnosis type, time to diagnosis, average Hoehn & Yahr or levodopa equivalent dose. Compared to a Parkinson's Foundation Center of Excellence, PD patients in a public hospital system are more racially diverse, are less likely to be insured, have higher rates of care utilization and are less likely to access necessary interventions such as physical therapy and exercise.
Identifiants
pubmed: 34398367
doi: 10.1007/s10823-021-09436-w
pii: 10.1007/s10823-021-09436-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
253-263Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Agency for Healthcare Research & Quality (AHRQ) (2015). National Healthcare Quality & Disparities Report.Agency for Healthcare Research and Quality; Rockville, MD: 2014. http://www.ahrq.gov/research/findings/nhqrdr/nhqdr14/key1.html . Published April 2015. Accessed Dec 17, 2020.
Chan, A.-K., McGovern, R.-A., Brown, L.-T., Sheehy, J.-P., Zacharia, B.-E., Mikell, C.-B., Bruce, S.-S., Ford, B., & McKhann, G.-M., II. (2014). Disparities in access to deep brain stimulation surgery for Parkinson disease: Interaction between African American race and medicaid use. JAMA Neurology, 71, 291–299.
doi: 10.1001/jamaneurol.2013.5798
Cheng, E.-M., Siderowf, A.-D., Swarztrauber, K., Lee, M., Vassar, S., Jacob, E., Eisa, M.-S., & Vickrey, B.-G. (2008). Disparities of care in veterans with Parkinson’s disease. Parkinsonism and Related Disorders, 14, 8–14.
doi: 10.1016/j.parkreldis.2007.05.001
Cooper, L.-A., Gonzales, J.-J., Gallo, J.-J., Rost, K.-M., Meredith, L.-S., Rubenstein, L.-V., Wang, N.-Y., & Ford, D.-E. (2003). The acceptability of treatment for depression among African-American, Hispanic, and white primary care patients. Medical Care, 4, 479–489.
Dahodwala, N., Siderowf, A., Xie, M., Noll, E., Stern, M., & Mandell, D.-S. (2009a). Racial differences in the diagnosis of Parkinson’s disease. Movement Disorders, 24, 1200–1205.
doi: 10.1002/mds.22557
Dahodwala, N., Xie, M., Noll, E., Siderowf, A., & Mandell, D.-S. (2009b). Treatment disparities in Parkinson’s disease. Annals of Neurology, 66, 142–1455.
doi: 10.1002/ana.21774
Dahodwala, N., Karlawish, J., Siderowf, A., Duda, J.-E., & Mandell, D.-S. (2011). Delayed Parkinson’s disease diagnosis among African-Americans: The role of reporting of disability. Neuroepidemiology, 36, 150–154.
doi: 10.1159/000324935
Department of City Planning, City of New York. (2010). NYC 2010: Results from the 2010 census: Population Growth and Race/Hispanic Composition [PDF file], http://www1.nyc.gov/assets/planning/download/pdf/data-maps/nyc-population/census2010/pgrhc.pdf . Accessed Aug 2018.
Fraze, T. (Thomson Reuters), Elixhauser, A. (Agency for Healthcare Research and Quality), Holmquist, L. (Thomson Reuters), and Johann, J. (Thomson Reuters). Public Hospitals in the United States (2008). HCUP Statistical Brief #95. September 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb95.pdf . Accessed Aug 2018.
Gallagher, D.-A., & Schrag, A. (2008). Impact of newer pharmacological treatments on quality of life in patients with Parkinson’s disease. CNS Drugs, 22, 563–586.
doi: 10.2165/00023210-200822070-00003
Harris, P.-A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J.-G. (2009). Research electronic data capture (REDCap)–a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42, 377–381.
doi: 10.1016/j.jbi.2008.08.010
Hemming, J.-P., Gruber-Baldini, A.-L., Anderson, K.-E., Fishman, P.-S., Reich, S.-G., Weiner, W.-J., & Shulman, L.-M. (2011). Racial and socioeconomic disparities in parkinsonism. Archives of Neurology, 68, 498–503.
doi: 10.1001/archneurol.2010.326
Kales, H.-C., & Mellow, A.-M. (2006). Race and depression: Does race affect the diagnosis and treatment of late-life depression? Geriatrics, 61, 18–21.
Kalia, L.-V., & Lang, A.-E. (2015). Parkinson’s disease. Lancet, 386, 896–912.
doi: 10.1016/S0140-6736(14)61393-3
Mayeux, R., Marder, K., Cote, L.-J., Denaro, J., Hemenegildo, N., Mejia, H., Tang, M.-X., Lantigua, R., Wilder, D., Gurland, B., & Hauser, A. (1995). The frequency of idiopathic Parkinson’s disease by age, ethnic group, and sex in northern Manhattan, 1988–1993. American Journal of Epidemiology, 142, 820–827.
doi: 10.1093/oxfordjournals.aje.a117721
McInerney-Leo, A., Gwinn-Hardy, K., & Nussbaum, R.-L. (2004). Prevalence of Parkinson’s disease in populations of African ancestry: A review. Journal of the National Medical Association, 96, 974–979.
Pan, S., Stutzbach, J., Reichwein, S., Lee, B.-K., & Dahodwala, N. (2014). Knowledge and attitudes about Parkinson’s disease among a diverse group of older adults. Journal of Cross Cultural Gerontology, 29, 339–352.
doi: 10.1007/s10823-014-9233-x
Rybicki, B.-A., Johnson, C.-C., & Gorell, J.-M. (1995). Demographic differences in referral rates to neurologists of patients with suspected Parkinson’s disease: Implications for case-control study design. Neuroepidemiology, 14, 72–81.
doi: 10.1159/000109781
Saadi, A., Himmelstein, D.-U., Woolhandler, S., & Mejia, N.-I. (2017). Racial disparities in neurologic health care access and utilization in the United States. Neurology, 88, 2268–2275.
doi: 10.1212/WNL.0000000000004025
Schneider, M.-G., Swearingen, C.-J., Shulman, L.-M., Ye, J., Baumgarten, M., & Tilley, B.-C. (2009). Minority enrollment in Parkinson’s disease clinical trials. Parkinsonism and Related Disorders, 15, 258–262.
doi: 10.1016/j.parkreldis.2008.06.005
Srinivasan, M. (2014). Life chaos and intrinsic motivation. Journal of General Internal Medicine, 29, 1213–1214.
doi: 10.1007/s11606-014-2952-4
Tomlinson, C.-L., Stowe, R., Patel, S., Rick, C., Gray, R., & Clarke, C.-E. (2010). Systematic review of levodopa dose equivalency reporting in Parkinson’s disease. Movement Disorders, 25, 2649–2653.
doi: 10.1002/mds.23429
van der Kolk, N.-M., & King, L.-A. (2013). Effects of exercise on mobility in people with Parkinson’s disease. Movement Disorders, 28, 1587–1596.
doi: 10.1002/mds.25658
Willis, A.-W., Schootman, M., Kung, N., Wang, X.-Y., Perlmutter, J.-S., & Racette, B.-A. (2014). Disparities in deep brain stimulation surgery among insured elders with Parkinson disease. Neurology, 82, 163–171.
doi: 10.1212/WNL.0000000000000017
Wright Willis, A., Evanoff, B.-A., Lian, M., Criswell, S.-R., & Racette, B.-A. (2010). Geographic and ethnic variation in Parkinson disease: A population-based study of US Medicare beneficiaries. Neuroepidemiology, 34, 143–151.
doi: 10.1159/000275491
Zullig, L.-L., Shaw, R.-J., Crowley, M.-J., Lindquist, J., Grambow, S.-C., Peterson, E., Shah, B.-R., & Bosworth, H.-B. (2013). Association between perceived life chaos and medication adherence in a postmyocardial infarction population. Circulation: Cardiovascular Quality and Outcomes, 6, 619–625.