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. 2008;14(1):8-14.
doi: 10.1016/j.parkreldis.2007.05.001. Epub 2007 Aug 16.

Disparities of care in veterans with Parkinson's disease

E M Cheng  1 , A D Siderowf, K Swarztrauber, M Lee, S Vassar, E Jacob, M S Eisa, B G Vickrey
Affiliations

Disparities of care in veterans with Parkinson's disease

E M Cheng et al. Parkinsonism Relat Disord. 2008.

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.

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