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National Healthcare Disparities Report, 2003

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Racial and Ethnic Differences in Health Care Expenditures

Measure Racial Difference[1] Ethnic Difference[2]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Overall Expenditures[3]
People with any health care expenditures Selected population receives less care than the comparison population Selected population receives less care than the comparison population3 Selected population receives less care than the comparison population   Selected population receives less care than the comparison population Selected population receives less care than the comparison population
Mean total health care expenditures among persons with expenditures Selected population receives less care than the comparison population Selected population receives less care than the comparison population3 Data are collected but do not meet criteria for statistical reliability   Selected population receives less care than the comparison population Selected population receives less care than the comparison population
Mean Expenditures among Users by Type of Service3
Mean office or outpatient expenditures Selected population receives less care than the comparison population3 Selected population receives less care than the comparison population3 Selected population receives less care than the comparison population   Selected population receives less care than the comparison population Selected population receives less care than the comparison population
Mean prescription medication expenditures Selected population receives less care than the comparison population Selected population receives less care than the comparison population3 Selected population and comparison population receive about same amount of health care   Selected population receives less care than the comparison population Selected population receives less care than the comparison population
Mean dental expenditures Selected population receives less care than the comparison population Selected population and comparison population receive about same amount of health care3 Data are collected but do not meet criteria for statistical reliability   Selected population receives less care than the comparison population Selected population and comparison population receive about same amount of health care
Mean emergency room expenditures Selected population receives less care than the comparison population Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population receives less care than the comparison population Selected population and comparison population receive about same amount of health care
Mean inpatient expenditures Selected population and comparison population receive about same amount of health care Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population receive about same amount of health care Selected population receives less care than the comparison population
Percent of Expenditure Paid by Medicaid3
Total health care expenditures paid by Medicaid Selected population receives more care than the comparison population3 Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population receives more care than the comparison population Selected population receives more care than the comparison population
Office or outpatient expenditures paid by Medicaid Selected population receives more care than the comparison population Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population receives more care than the comparison population Selected population receives more care than the comparison population
Prescription medication expenditures paid by Medicaid Selected population receives more care than the comparison population Data are collected but do not meet criteria for statistical reliability3 Selected population receives more care than the comparison population   Selected population receives more care than the comparison population Selected population receives more care than the comparison population
Dental expenditures paid by Medicaid Selected population receives more care than the comparison population Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population receives more care than the comparison population Selected population receives more care than the comparison population
Emergency room expenditures paid by Medicaid Selected population receives more care than the comparison population Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population receives more care than the comparison population Selected population and comparison population receive about same amount of health care
Inpatient expenditures paid by Medicaid Selected population receives more care than the comparison population Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population receives more care than the comparison population Selected population receives more care than the comparison population
Percent of Expenditure Paid out-of-pocket3
Total health care expenditures paid out-of-pocket Selected population receives less care than the comparison population3 Selected population and comparison population receive about same amount of health care3 Data are collected but do not meet criteria for statistical reliability   Selected population receives less care than the comparison population Selected population and comparison population receive about same amount of health care
Office or outpatient expenditures paid out-of-pocket Selected population receives less care than the comparison population Selected population and comparison population receive about same amount of health care3 Selected population receives less care than the comparison population   Selected population receives less care than the comparison population Selected population receives less care than the comparison population
Prescription medication expenditures paid out-of-pocket Selected population and comparison population receive about same amount of health care Selected population and comparison population receive about same amount of health care3 Selected population and comparison population receive about same amount of health care   Selected population and comparison population receive about same amount of health care Selected population and comparison population receive about same amount of health care
Dental expenditures paid out-of-pocket Selected population receives less care than the comparison population Selected population and comparison population receive about same amount of health care3 Data are collected but do not meet criteria for statistical reliability   Selected population receives less care than the comparison population Selected population and comparison population receive about same amount of health care
Emergency room expenditures paid out-of-pocket Selected population and comparison population receive about same amount of health care Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population receive about same amount of health care Selected population and comparison population receive about same amount of health care
Inpatient expenditures paid out-of-pocket Selected population receives less care than the comparison population Data are collected but do not meet criteria for statistical reliability3 Data are collected but do not meet criteria for statistical reliability   Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability
Medicare Expenditures in the Last Year of Life[4]
Mean total Medicare expenditures in the last year of life Selected population receives more care than the comparison population4            

Key to Quality of Health Care Tables
Selected population and comparison population receive about same amount of health care: Selected population and comparison population receive about same amount of health care
Selected population receives more care than the comparison population: Selected population receives more care than the comparison population
Selected population receives less care than the comparison population: Selected population receives less care than the comparison population
Data are collected but do not meet criteria for statistical reliability: Data are collected but do not meet criteria for statistical reliability

[1] Compared with whites.

[2] Compared with non-Hispanic whites.

[3] Source: MEPS, 1999. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian or Pacific Islander. This source did not collect information for >1 race.

[4] Source: Medicare claims, 1996-1999. Information on race and ethnicity from this source other than black and white are not felt to be reliable. Hence, only a black-white comparison is presented.

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