Health disparities in 30 indicators of recommended clinical care.
This article examines variations in clinical practice for 30 clinical indicators. Patients' age, gender, and morbidity and certain characteristics of their physicians affected whether they received recommended care. Recommended care increased with patient age for 13 significant clinical indicators and decreased with age for 7 others. Males received recommended care more often for 12 of 13 clinical indicators. Recommended care varied by physician specialties for health screenings, disease management, and medication use. Patients seeing physicians who treated a high volume of patients generally received better care. The variations in recommended care suggest potential targets for healthcare quality improvements.
Davis
James W
JW
John A. Burns School of Medicine, Honolulu, HI, USA. james_davis@hmsa.com
Taira
Deborah
D
Chung
Richard S
RS
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D005260:Female; D006254:Hawaii; D006302:Health Services Research; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians'