Area-Level Socioeconomic Disadvantage and Health Care Spending: A Systematic Review.

ABSTRACT:

Importance

Publicly available, US Census-based composite measures of socioeconomic disadvantage are increasingly being used in a wide range of clinical outcomes and health services research. Area Deprivation Index (ADI) and Social Vulnerability Index (SVI) are 2 of the most commonly used measures. There is also early interest in incorporating area-level measures to create more equitable alternative payment models.

Objective

To review the evidence on the association of ADI and SVI with health care spending, including claims-based spending and patient-reported barriers to care due to cost.

Evidence review

A systematic search for English-language articles and abstracts was performed in the PubMed, Web of Science, Embase, and Cochrane databases (from inception to March 1,

SUBMITTER: Morenz AM 

PROVIDER: S-EPMC10870184 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature