Investigation of the role of perceived access to primary care in mediating and moderating racial and ethnic disparities in chronic disease control in the veterans health administration.

ABSTRACT:

Objective

To examine the role of patient-perceived access to primary care in mediating and moderating racial and ethnic disparities in hypertension control and diabetes control among Veterans Health Administration (VA) users.

Data source and study setting

We performed a secondary analysis of national VA user administrative data for fiscal years 2016-2019.

Study design

Our primary exposure was race or ethnicity and primary outcomes were binary indicators of hypertension control (<140/90 mmHg) and diabetes control (HgbA1c < 9%) among patients with known disease. We used the inverse odds-weighting method to test for mediation and logistic regression with race and ethnicity-by-perceived access interaction product terms to test moderation. All models were adjusted for age,

SUBMITTER: Shannon EM 

PROVIDER: S-EPMC10771907 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature