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Health Disparities

Health disparities refers to differences in the presence of disease, access to health care, quality of care, and health outcomes specific to different population groups characterized by factors such as race, ethnicity, economic status, citizenship status, age, gender, language skills, health literacy, and insurance coverage. RAND Health research has focused on a range of vulnerable groups, including children with special health care needs, people with mental health or substance abuse problems, immigrants, and individuals and families living in poverty, as well as the uninsured in general, and specific ethnic and racial groups.

Selected Publications, 2006 to Present

Hospital Executives' Perspectives on Pay-for-Performance and Racial/Ethnic Disparities in Care
(2010)
Weinick RM, Chien AT, Rosenthal MB, Bristol SJ, Salamon J

 Medical Care Research and Review, [Epub Jan 6 2010]

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Ethnic Differences in Posttraumatic Distress: Hispanics' Symptoms Differ in Kind and Degree
(2009)
Marshall GN, Schell TL, Miles JN

 Journal of Consulting and Clinical Psychology, Vol. 77, No. 6, Dec 2009, pp. 1169-1178

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Reducing Inequities among Children with Asthma in the Island of Puerto Rico: Experiences of a Community-Based, Trans-Sectoral Effort
(2009)
Lara M, Valencia GR, Gavillán JAG, Reyes BM, Arabía C, Malpica FP, Freytes DM, Rodríguez-Sánchez MH, Chinman M

Journal of Health Care for the Poor and Underserved, Vol. 20, No. 4, Supp, Nov 2009 pp. 116-136

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Health and Health Care Among District of Columbia Youth
(2009)
Chandra A, Gresenz CR, Blanchard JC, Cuellar AE, Ruder T, Chen AY, Gillen EM
RAND, TR-751-CNMC, Oct 8 2009.
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Assessing Parolees’ Health Care Needs and Potential Access to Health Care Services in California
(2009)
Davis LM, Nicosia N, Overton A, Miyashiro L, Derose KP, Fain T, Turner S, Steinberg P, Williams E,

RAND, RB-9458

Research Brief

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Neighborhood Socioeconomic Status and Biological ‘Wear & Tear’ in a Nationally Representative Sample of U.S. Adults
(2009)
Bird CE. Seeman TE, Escarce JJ, Basurto-Davila R, Finch BK, Dubowitz T, Heron M, Hale L, Merkin SS, Weden M, Lurie N.
Journal of Epidemiology and Community Health, [Epub Sept 16 2009]
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Racial/Ethnic Differences in Patients’ Perceptions of Inpatient Care Using the HCAHPS Survey
(2009)
Goldstein E, Elliott MN, Lehrman WG, Hambarsoomian K, Giordano LA
Medical Care Research and Review, [Epub Aug 3 2009]
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Falling Short: Continued Challenges in Meeting the Mental Health Needs of Children with Special Health Care Needs
(2008)
Chandra A, Lurie N.

HSR: Health Services Research, Vol. 43, No. 3, Jun 2008, [Editorial], pp. 803-809

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Do Variations in Provider Discussions Explain Socioeconomic Disparities in Postmastectomy Breast Reconstruction?
(2008)
Greenberg CC, Schneider EC, Lipsitz SR, Ko CY, Malin JL, Epstein AM, Weeks JC, Kahn KL.
Journal of the American College of Surgeons [Epub Feb 1, 2008], Vol. 206, No. 4, Apr 2008, pp. 605-615
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Language and Regional Differences in Evaluations of Medicare Managed Care by Hispanics
(2008)
Weech-Maldonado R, Fongwa MN, Gutierrez P, Hays RD.
Health Services Research [Epub Oct 19, 2007], Vol. 43, No. 2, Apr 2008, pp. 552-568
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Trends in Socioeconomic Disparities in Health Care Quality in Four Countries
(2008)
Hussey P, Anderson G, Berthelot JM, Feek C, Kelley E, Osborn R, Raleigh V, Epstein A.
International Journal for Quality in Health Care [Epub Nov 17 , 2007], Vol. 20, No. 1, Feb 2008, pp. 53-61
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Immigrants and Health Care: A Complex Picture
(2008)
Derose KP, Escarce JJ, Lurie N

Santa Monica, CA: RAND Corporation, RB-9317, Jan 21 2008

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Are Racial Disparities in Alcohol Treatment Completion Associated with Racial Differences in Treatment Modality Entry? Comparison of Outpatient Treatment and Residential Treatment in Los Angeles County, 1998 to 2000
(2007)
Bluthenthal RN, Jacobson JO, Robinson PL.
Alcoholism: Clinical Experimental Research [Epub Oct 1, 2007], Vol. 31, No. 11, Nov 2007, pp. 1920-1926
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The Cumulative Effects of Quality Improvement for Depression on Outcome Disparities over 9 Years: Results from a Randomized, Controlled Group-Level Trial
(2007)
Wells KB, Sherbourne CD, Miranda J, Tang L, Benjamin B, Duan N.

Medical Care, Vol. 45, No. 11, Nov 2007, pp. 1052-1059

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A Good Start in Life: Revisiting Racial and Ethnic Disparities in Health Outcomes At and After Birth
(2007)
Ma S. Santa Monica, Calif.: RAND Corporation, RGSD-220, Sept 2007
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Immigrants and Health Care: Sources of Vulnerability
(2007)
Derose KP, Escarce JJ, Lurie N.

Health Affairs, Vol. 26, No. 5, Sept-Oct 2007, pp. 1258-1268

Abstract News Release

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Socioeconomic and Racial/Ethnic Differences in the Discussion of Cancer Screening: “Between-” Versus “Within-” Physician Differences
(2007)
Bao Y, Fox SA, Escarce JJ.
Health Services Research, Vol. 42, No. 3 (Part 1), Jun 2007, pp. 950-970
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Racial Disparities in the Surgical Management of Stress Incontinence Among Female Medicare Beneficiaries
(2007)
Anger JT, Rodriguez LV, Wang Q, Chen E, Pashos CL, Litwin MS.
Journal of Urology, Vol. 177, No. 5, May 2007, pp. 1846-1850
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Racial Disparities in Completion Rates from Publicly Funded Alcohol Treatment: Economic Resources Explain More Than Demographics and Addiction Severity
(2007)
Jacobson JO, Robinson P, Bluthenthal RN.
Health Services Research [Epub Aug 17, 2006], Vol. 42, No. 2, Apr 2007, pp. 773-794
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Health Disparities and Access to Health
(2007)
Lurie N, Dubowitz T.

Journal of the American Medical Association, Vol. 297, No. 10, Mar 2007, [Commentary], pp. 1118-1121

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Health Care Markets: The Safety Net and Access to Care Among the Uninsured
(2007)
Gresenz CR, Rogowski JA, Escarce JJ.

HSR: Health Services Research, [Epub July 19, 2006], Vol. 42, No. 1p1, Feb 2007, pp. 239-264

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A Multilevel Decomposition Approach to Estimate the Role of Program Location and Neighborhood Disadvantage in Racial Disparities in Alcohol Treatment Completion
(2007)
Jacobson JO, Robinson P, Bluthenthal RN.
Social Science and Medicine [Epub Oct 20, 2005], Vol. 64, No. 2, Jan 2007, pp. 462-476
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Racial Differences in the Use of Epidural Analgesia for Labor
(2007)
Glance LG, Wissler R, Glantz C, Osler TM, Mukamel DB, Dick AW.
Anesthesiology, Vol. 106, No. 1, Jan 2007, pp. 19-25
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Immigrants and the Cost of Medical Care
(2006)
Goldman DP, Smith JP, Sood N.
Health Affairs, Vol. 25, No. 6, Nov/Dec 2006, pp. 1700-1711
Abstract News Release

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Cultural Competency and Quality of Care: Obtaining the Patients’ Perspective
(2006)
Ngo-Metzger Q, Telfair J, Sorkin DH, Weidmer B, Weech-Maldonado R, Hurtado M, Hays RD.
New York: The Commonwealth Fund, Oct 2006
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The Impact of Realized Access to Care on Health-Related Quality of Life: A Two-Year Prospective Cohort Study of Children in the California State Children’s Health Insurance Program
(2006)
Seid M, Varni JW, Cummings L, Schonlau M.

Journal of Pediatrics, Vol. 149, No. 3, Sep 2006, pp. 354-361

Abstract News Release Research Brief

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Looking Forward: Cross-Cutting Issues in the Collection and Use of Racial/Ethnic Data
(2006)
Lurie N, Fremont A.
Health Services Research, Vol. 41, No. 4 (Part 1), Aug 2006, pp. 1519-1533
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Linguistic Disparities in Health Care Access and Health Status Among Older Adults
(2006)
Ponce NA, Hays RD, Cunningham WE.

Journal of General Internal Medicine, Vol. 21, No. 7, Jul 2006, pp. 786-791

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Disease and Disadvantage in the United States and in England
(2006)
Banks J, Marmot M, Oldfield Z, Smith JP.
Journal of the American Medical Association, Vol. 295, No. 17, May 2006, pp. 2037-2045
Abstract News Release

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Disparities in Care for HIV Patients: Results of the HCSUS Study
(2006)
Andersen R, Bozzette SA, Shapiro M

St. Clair PA, Morton SC, Crystal S, et al. Santa Monica, CA: RAND Corporation, RB-9171, April 2006

Research Brief

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Disparities in Primary Care for Vulnerable Children: The Influence of Multiple Risk Factors
(2006)
Stevens GD, Seid M, Mistry R, Halfon N.

HSR: Health Services Research, [Epub Jan 4 2006], Vol. 41, No. 2, Apr 2006, pp. 507-531

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Enrolling Vulnerable, Uninsured but Eligible Children in Public Health Insurance: Association with Health Status and Primary Care Access
(2006)
Stevens GD, Seid M, Halfon N.

Pediatrics, Vol. 117, No. 4, Apr 2006, pp. e751-e759

Abstract Research Brief

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Quality Primary Care Requires More Than Insurance
(2006)
Seid M, Stevens GD

Santa Monica, CA: RAND Corporation, RB-9170, Jan 2006

Research Brief

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The Public Spends Little to Provide Health Care for Undocumented Immigrants
(2006)
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