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Underlying Factors of Health Insurance Use Among Blacks and Hispanics With Ambulatory Care-Sensitive Conditions
Caress A Dean1, Echu Liu, Jacqueline Wiltshire
1Department of Public and Environmental Wellness, School of Health Sciences, Oakland University, Rochester, Michigan (Dr Dean); Department of Health Management and Policy, Saint Louis University, Saint Louis, Missouri (Dr Liu); College of Public Health, University of South Florida, Tampa (Dr Wiltshire); and Mississippi College, Clinton (Dr Elder).
Abstract:
This study examined satisfaction with and confidence in understanding health insurance use among Blacks and Hispanic Americans with ambulatory care-sensitive conditions. Using the 2013-2016 Health Reform Monitoring Survey data sets, descriptive statistics and ordinary least-square regressions estimated the association between satisfaction and confidence scores and racial or ethnic groups with ambulatory care-sensitive conditions. Compared with their White counterparts, Black (β = -.13; 95% confidence interval [CI], -0.19 to -0.06) and Hispanic (β = -0.41; 95% CI, -0.48 to -0.33) participants' standardized confidence scores were significantly lower. Research is needed to identify factors that may enhance this population's confidence level.
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