Disparities of care in veterans with Parkinson's disease

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

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

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 2008

Bibliographical note

Funding Information:
This project was supported by the Veteran's Administration and the VA Parkinson's Disease, Research, Education, and Clinical Centers (PADRECC). The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs. Dr. Cheng was supported by UCLA/DREW Project EXPORT, NCMHD, P20MD000148/P20MD000182.

Keywords

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

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