Racial/Ethnic and County-level Disparity in Inpatient Utilization among Hawai‘i Medicaid Population

Hawaii Medical Journal

Eunjung Lim¹  Chathura Siriwardhana² 

[1] Community Health, University of Hawaii John A. Burns School of Medicine, Honolulu, HI (LA, AH);Department of Family Medicine &

关键词: Ethnicity;    Medicaid;    Multi-level CCS conditions;    Race;    Utilization;   

学科分类：医学（综合）

来源: University Clinical, Education & Research Associates

【 摘 要 】

We investigated racial/ethnic and county-level disparities in inpatient utilization for 15 clinical conditions among Hawaii's Medicaid population. The study was conducted using inpatient claims data from more than 200,000 Hawaii Medicaid beneficiaries, reported in the year 2010. The analysis was performed by stratifying the Medicaid population into three age groups: children and adolescent group (1–20 years), adult group (21–64 years), and elderly group (65 years and above). Among the differences found, Asians had a low probability of inpatient admissions compared to Whites for many disease categories, while Native Hawaiian/Pacific Islanders had higher probabilities than Whites, across all age groups. Pediatric and adult groups from Hawaii County (Big Island) had lower probabilities for inpatient admissions compared to Honolulu County (Oahu) for most disease conditions, but higher probabilities were observed for several conditions in the elderly group. Notably, the elderly population residing on Kauai County (Kauai and Niihau islands) had substantially increased odds of hospital admissions for several disease conditions, compared to Honolulu.

【 授权许可】

Unknown