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Disparities of care in veterans with Parkinson's disease
E M Cheng1, A D Siderowf, K Swarztrauber
1Parkinson's Disease Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard, B500, ML 127, Los Angeles, CA 90073, USA. Eric.Cheng@va.gov
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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