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Patient Centered Medical Home Care Among Near-Old and Older Race/Ethnic Minorities in the US: Findings from the Medical Expenditures Panel Survey

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Abstract

Access to Patient Centered Medical Home (PCMH) care has not been explored among older racial/ethnic minorities. We used data on adults 55-years and older from the Medical Expenditure Panel Survey (2008–2013). We account for five features of PCMH experiences and focus on respondents self-identifying as Non-Latino White, Black, and Latino. We used regression models to examine associations between PCMH care and its domains and race/ethnicity and decomposition techniques to assess contribution to differences by predisposing, enabling and health need factors. We found low overall access and significant racial/ethnic variations in experiences of PCMH. Our results indicated strong deficiencies in access to a personal primary care physician provided healthcare. Factors contributing to differences in reported PCMH experiences relative to Whites differed by racial/ethnic grouping. Policy initiatives aimed at addressing accessibility to personal physician directed healthcare could potentially reduce racial/ethnic differences while increasing national access to PCMH care.

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Acknowledgments

Funding was provided by National Institute on Aging (Grant No. P30 AG015281).

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Authors and Affiliations

  1. Institute of Gerontology, Wayne State University, 87 East Ferry Street, Detroit, MI, 48202, USA

    Wassim Tarraf & Gail Jensen

  2. Department of Healthcare Sciences, Eugene Appelbaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, USA

    Wassim Tarraf

  3. Department of Economics, Wayne State University, Detroit, USA

    Gail Jensen

  4. Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, USA

    Hector M. González

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  1. Wassim Tarraf
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Correspondence to Wassim Tarraf.

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Tarraf, W., Jensen, G. & González, H.M. Patient Centered Medical Home Care Among Near-Old and Older Race/Ethnic Minorities in the US: Findings from the Medical Expenditures Panel Survey. J Immigrant Minority Health 19, 1271–1280 (2017). https://doi.org/10.1007/s10903-016-0491-2

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