Effect of managed care insurance on the use of preventive care for specific ethnic groups in the United States

Med Care. 2002 Sep;40(9):743-51. doi: 10.1097/00005650-200209000-00004.

Abstract

Background: Ethnic disparities in access to health care is a persistent problem in the US. Despite the broad implementation of managed care, there is little information that specifically addresses how this type of coverage may affect ethnic disparities.

Objectives: To examine the effect of managed care insurance on the use of preventive care for different ethnic groups.

Research design: Observational cohort using the 1996 Medical Expenditure Panel Survey.

Subjects: Adults with health insurance who report their ethnicity as white, black, Hispanic, or Asian/Pacific Islander.

Main outcome measures: (1) Mammography within the past 2 years for women between 50 and 75 years of age; (2) clinical breast exam within the past 2 years for women between 40 and 75 years; (3) Papanicolaou smear within the past 2 years for women between 18 and 65 years; and (4) cholesterol screening within the past 5 years for men and women older than the age of 20 years.

Results: Hispanic people enrolled in a managed care plan report higher rates of mammography, breast exam, and Papanicolaou smear compared with Hispanic people with fee-for-service insurance. For example, the adjusted predicted probability of a mammogram for Hispanic women with managed care was 85.6% compared with 72.4% for Hispanic women with fee-for-service coverage (risk difference: 13.2%; 95% CI for the risk difference 0.7%-25.7%). White persons with managed care are also more likely than white persons with fee-for-service coverage to receive mammography and cholesterol screening. Managed care is not associated with less preventive care for any ethnic group.

Conclusions: In this nationally representative household survey, it was found that managed care is associated with greater use of some preventive care for Hispanic persons and white persons than fee-for-service insurance. Despite a focus on prevention, the benefits of managed care are not apparent for black persons or Asian/Pacific Islanders.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Breast Neoplasms / diagnosis
  • Chi-Square Distribution
  • Cohort Studies
  • Ethnicity*
  • Fee-for-Service Plans
  • Female
  • Health Services Accessibility*
  • Health Services Research
  • Humans
  • Hypercholesterolemia / diagnosis
  • Male
  • Mammography / statistics & numerical data
  • Managed Care Programs*
  • Middle Aged
  • Papanicolaou Test
  • Preventive Health Services / statistics & numerical data*
  • United States
  • Vaginal Smears / statistics & numerical data