Disparities of care in veterans with Parkinson's disease

E. M. Cheng; A. D. Siderowf; K. Swarztrauber; M. Lee; S. Vassar; E. Jacob; M. S. Eisa; B. G. Vickrey

doi:10.1016/j.parkreldis.2007.05.001

Disparities of care in veterans with Parkinson's disease

E. M. Cheng, A. D. Siderowf, K. Swarztrauber, M. Lee, S. Vassar, E. Jacob, M. S. Eisa, B. G. Vickrey

Research output: Contribution to journal › Article › peer-review

25 Scopus citations

Abstract

Background: Disparities of Parkinson's disease (PD) care have not been assessed. Methods: We examined the medical records of 309 (83%) non-Hispanic White and 65 (17%) non-White Los Angeles veterans with PD from 1998 to 2004 to determine if care quality as measured by 10 PD indicators different by race/ethnicity. Results: In multivariate modeling, adherence to indicators was higher among non-Hispanic Whites (71% vs. 65%, risk ratio 1.15, 95% CI [1.07-1.32]) compared to non-Whites. Differences in adherence by race/ethnicity were greatest for depression treatment (p<0.05). Conclusions: We detected disparities in quality of PD care, particularly in depression treatment. Future research should determine causes for these so that interventions can be designed to reduce such disparities.

Original language	English (US)
Pages (from-to)	8-14
Number of pages	7
Journal	Parkinsonism and Related Disorders
Volume	14
Issue number	1
DOIs	https://doi.org/10.1016/j.parkreldis.2007.05.001
State	Published - Jan 2008
Externally published	Yes

Keywords

Disparities
Parkinson's disease
Quality indicators
Quality of care

ASJC Scopus subject areas

Neurology
Geriatrics and Gerontology
Clinical Neurology

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10.1016/j.parkreldis.2007.05.001

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title = "Disparities of care in veterans with Parkinson's disease",

abstract = "Background: Disparities of Parkinson's disease (PD) care have not been assessed. Methods: We examined the medical records of 309 (83%) non-Hispanic White and 65 (17%) non-White Los Angeles veterans with PD from 1998 to 2004 to determine if care quality as measured by 10 PD indicators different by race/ethnicity. Results: In multivariate modeling, adherence to indicators was higher among non-Hispanic Whites (71% vs. 65%, risk ratio 1.15, 95% CI [1.07-1.32]) compared to non-Whites. Differences in adherence by race/ethnicity were greatest for depression treatment (p<0.05). Conclusions: We detected disparities in quality of PD care, particularly in depression treatment. Future research should determine causes for these so that interventions can be designed to reduce such disparities.",

keywords = "Disparities, Parkinson's disease, Quality indicators, Quality of care",

author = "Cheng, {E. M.} and Siderowf, {A. D.} and K. Swarztrauber and M. Lee and S. Vassar and E. Jacob and Eisa, {M. S.} and Vickrey, {B. G.}",

note = "Funding Information: This project was supported by the Veteran's Administration and the VA Parkinson's Disease, Research, Education, and Clinical Centers (PADRECC). The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs. Dr. Cheng was supported by UCLA/DREW Project EXPORT, NCMHD, P20MD000148/P20MD000182. ",

year = "2008",

month = jan,

doi = "10.1016/j.parkreldis.2007.05.001",

language = "English (US)",

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T1 - Disparities of care in veterans with Parkinson's disease

AU - Cheng, E. M.

AU - Siderowf, A. D.

AU - Swarztrauber, K.

AU - Lee, M.

AU - Vassar, S.

AU - Jacob, E.

AU - Eisa, M. S.

AU - Vickrey, B. G.

N1 - Funding Information: This project was supported by the Veteran's Administration and the VA Parkinson's Disease, Research, Education, and Clinical Centers (PADRECC). The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs. Dr. Cheng was supported by UCLA/DREW Project EXPORT, NCMHD, P20MD000148/P20MD000182.

PY - 2008/1

Y1 - 2008/1

N2 - Background: Disparities of Parkinson's disease (PD) care have not been assessed. Methods: We examined the medical records of 309 (83%) non-Hispanic White and 65 (17%) non-White Los Angeles veterans with PD from 1998 to 2004 to determine if care quality as measured by 10 PD indicators different by race/ethnicity. Results: In multivariate modeling, adherence to indicators was higher among non-Hispanic Whites (71% vs. 65%, risk ratio 1.15, 95% CI [1.07-1.32]) compared to non-Whites. Differences in adherence by race/ethnicity were greatest for depression treatment (p<0.05). Conclusions: We detected disparities in quality of PD care, particularly in depression treatment. Future research should determine causes for these so that interventions can be designed to reduce such disparities.

AB - Background: Disparities of Parkinson's disease (PD) care have not been assessed. Methods: We examined the medical records of 309 (83%) non-Hispanic White and 65 (17%) non-White Los Angeles veterans with PD from 1998 to 2004 to determine if care quality as measured by 10 PD indicators different by race/ethnicity. Results: In multivariate modeling, adherence to indicators was higher among non-Hispanic Whites (71% vs. 65%, risk ratio 1.15, 95% CI [1.07-1.32]) compared to non-Whites. Differences in adherence by race/ethnicity were greatest for depression treatment (p<0.05). Conclusions: We detected disparities in quality of PD care, particularly in depression treatment. Future research should determine causes for these so that interventions can be designed to reduce such disparities.

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KW - Quality indicators

KW - Quality of care

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Disparities of care in veterans with Parkinson's disease

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Keywords

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