title: Racial and socioeconomic disparities in access to primary care among people with chronic conditions.
abstract: OBJECTIVE
  The purpose of this study was to examine racial and socioeconomic disparities in access to primary care among people with chronic conditions.
  
  
  METHODS
  Data for this study were taken from the household component of the 2010 Medical Expenditure Panel Survey. The analysis primarily focused on adults ≥ 18 years old. Logistic regressions were conducted among people with chronic conditions to compare primary care attributes between each minority group and their non-Hispanic white counterparts and between individuals with high, above average, or below average socioeconomic status and their low socioeconomic status counterparts, controlling for other individual factors.
  
  
  RESULTS
  Racial disparities were found in having usual source of care (USC), USC provider type, and USC location. However, no disparities were found in ease of contacting or getting to USC as well as the services received. Furthermore, very limited socioeconomic disparities were found after controlling for other individual characteristics, in particular race and insurance status.
  
  
  CONCLUSIONS
  More efforts need to be devoted to racial/ethnic minorities with chronic conditions to improve their access to continuous and high-quality primary care.
authors.affiliation: the Department of Health Policy and Management and the Johns Hopkins Primary Care Policy Center, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD; the Department of International Business, Ling Tung University, Taichung City, Taiwan; and the School of Public Health and Center of Migrant Health Policy, Sun Yat-sen University, Guangzhou, Guangdong, PR China.
authors.forename: Leiyu
authors.initials: L
authors.lastname: Shi
authors.forename: Chien-Chou
authors.initials: CC
authors.lastname: Chen
authors.forename: Xiaoyu
authors.initials: X
authors.lastname: Nie
authors.forename: Jinsheng
authors.initials: J
authors.lastname: Zhu
authors.forename: Ruwei
authors.initials: R
authors.lastname: Hu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000191:economics / Q000208:ethnology / Q000628:therapy*; D003430:Cross-Sectional Studies; D005006:Ethnicity; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data; D054625:Healthcare Disparities / Q000191:economics / Q000208:ethnology / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008913:Minority Groups; D015999:Multivariate Analysis; D011320:Primary Health Care; D012923:Social Class; D012959:Socioeconomic Factors; D014481:United States; D044465:White People; D055815:Young Adult
keywords: Access to Health Care; Chronic Disease; Health Care Disparities; Primary Health Care; Quality of Health Care