Achieving Equitable Access Studies of Health

In the past thirty years, the United States has made remarkable progress in reducing barriers in access to health care faced by racial and ethnic minority Americans. Most minority Americans born in the 1950s have vivid memories of "separate and unequal" health facilities. By the 1980s, overt and blatant barriers to care were uncommon. In spite of the progress achieved, recent studies continue to provide evidence that minority Americans experience differential access to health coverage and to some health procedures. To investigate these differentials, contributors to this volume were asked to examine the health care experiences of nonelderly Hispanics and African-Americans within a nationally representative data source: the 1987 National Medical Expenditure Survey. Through this effort, the authors document the extent to which barriers to access persist and provide insight on possible explanations for variations in access. This volume will provide policymakers, practitioners, and advocates with an objective base of important information to guide decision-making about health care policy.

Foreword
List of Tables and Figures
Introduction	p. 1
The Effect of Ethnic/Racial Matches Between Provider and Patient on the Use of Health Services by Hispanics and African Americans	p. 7
Social, Economic, and Health Determinants of the Use of Health Care Services by Whites, African Americans, and Mexican Americans	p. 27
A Comparison of Health Care Expenditures, by Income Across Racial and Ethnic Groups	p. 55
The Relationship of Health Perceptions, Physical and Mental Health, and Language Use to Usual Source of Care	p. 75
What Accounts for the Dependency of African Americans and Hispanics on Hospital-Based Outpatient Care?	p. 99
A Comparison of Financial, Access, and Sociocultural Barriers to Care Among Hypertensives Across Three Ethnic Groups	p. 119
Racial and Ethnic Patterns of Hospital Emergency Room Use	p. 143
Re-examining Federal and State Roles in Assuring Equitable Access to Health Care	p. 163
Summary of Findings and Policy Implications	p. 201
The National Medical Expenditure Survey: A Description of the Database	p. 205
About the Authors and Project Staff	p. 207
List of Reviewers and Project Roundtable Participants	p. 211
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Achieving Equitable Access Studies of Health Care Issues Affecting Hispanics and African-Americans

Summary

Table of Contents

Supplemental Materials