Disparities of care in veterans with Parkinson's disease

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

Research output: Contribution to journalArticle

13 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)8-14
Number of pages7
JournalParkinsonism and Related Disorders
Volume14
Issue number1
DOIs
StatePublished - Jan 1 2008
Externally publishedYes

Fingerprint

Veterans
Parkinson Disease
Los Angeles
Quality of Health Care
Medical Records
Odds Ratio
Therapeutics

Keywords

  • Disparities
  • Parkinson's disease
  • Quality indicators
  • Quality of care

ASJC Scopus subject areas

  • Neurology
  • Geriatrics and Gerontology
  • Clinical Neurology

Cite this

Cheng, E. M., Siderowf, A. D., Swarztrauber, K., Lee, M., Vassar, S., Jacob, E., ... Vickrey, B. G. (2008). Disparities of care in veterans with Parkinson's disease. Parkinsonism and Related Disorders, 14(1), 8-14. https://doi.org/10.1016/j.parkreldis.2007.05.001

Disparities of care in veterans with Parkinson's disease. / Cheng, E. M.; Siderowf, A. D.; Swarztrauber, K.; Lee, M.; Vassar, S.; Jacob, E.; Eisa, Mahmood Sayied; Vickrey, B. G.

In: Parkinsonism and Related Disorders, Vol. 14, No. 1, 01.01.2008, p. 8-14.

Research output: Contribution to journalArticle

Cheng, EM, Siderowf, AD, Swarztrauber, K, Lee, M, Vassar, S, Jacob, E, Eisa, MS & Vickrey, BG 2008, 'Disparities of care in veterans with Parkinson's disease', Parkinsonism and Related Disorders, vol. 14, no. 1, pp. 8-14. https://doi.org/10.1016/j.parkreldis.2007.05.001
Cheng EM, Siderowf AD, Swarztrauber K, Lee M, Vassar S, Jacob E et al. Disparities of care in veterans with Parkinson's disease. Parkinsonism and Related Disorders. 2008 Jan 1;14(1):8-14. https://doi.org/10.1016/j.parkreldis.2007.05.001
Cheng, E. M. ; Siderowf, A. D. ; Swarztrauber, K. ; Lee, M. ; Vassar, S. ; Jacob, E. ; Eisa, Mahmood Sayied ; Vickrey, B. G. / Disparities of care in veterans with Parkinson's disease. In: Parkinsonism and Related Disorders. 2008 ; Vol. 14, No. 1. pp. 8-14.
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