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A Quantitative Analysis of Racial/Ethnic Disparities in Health Care Usage: The Roles of Perceptions of Care & Expected Longevity

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dc.contributor.advisor Kuspit, Donald; Pindell, Howardena en_US
dc.contributor.author Jones, Jeffrey Alfred en_US
dc.contributor.other Department of Economics en_US
dc.date.accessioned 2012-05-15T18:04:18Z
dc.date.available 2012-05-15T18:04:18Z
dc.date.issued 1-Dec-10 en_US
dc.date.submitted Dec-10 en_US
dc.identifier Jones_grad.sunysb_0771E_10323.pdf en_US
dc.identifier.uri http://hdl.handle.net/1951/55489
dc.description.abstract Countless studies have documented the existence of disparities byrace and ethnicity in the health care system in the United States.However, not many have sought to explicitly quantify the relativeimportance of each of the proposed determining factors. Thisdissertation thus sought to identify the major causes of disparitiesin health care usage by employing an adaptation of theBlinder/Oaxaca decomposition method originally used in theliterature on wage differentials.Specifically, this study sought to investigate the roles that racialdifferences in patients' perceptions of care and expected longevity(as they relate to expected gains) might play in the observeddisparities in usage. Perceptions of care measures (trust andfear/dislike) were used to investigate the importance of thedoctor-patient relationship in determining usage disparities throughits effect on expected gains. Expected longevity was used as thelength of time that someone expects to live would affect how willingthey are to invest in anything with payoffs derived in the future.Thus, if expected net payoffs/gains of utilizing health care arepositive, the individual would use care.Results show that while expected longevity was found to positivelyaffect whether or not someone utilizes care, it was not acontributing factor to the racial divide in usage. However, whenexploring the role of perceptions of care, while the differences inutilization rates between whites and minorities were due mainly tounobserved factors peculiar to each racial/ethnic group, perceptionsof care disparities also played a major role in addition tosocioeconomic and access factors. These results, while encouraging the need for further analysis into what drives usage disparities by race, point out that the doctor-patient relationship (apart from SES and access issues) should also be considered as a possible contributor to racial/ethnic disparities in usage. en_US
dc.description.sponsorship Stony Brook University Libraries. SBU Graduate School in Department of Economics. Lawrence Martin (Dean of Graduate School). en_US
dc.format Electronic Resource en_US
dc.language.iso en_US en_US
dc.publisher The Graduate School, Stony Brook University: Stony Brook, NY. en_US
dc.subject.lcsh Economics -- Health Care Management en_US
dc.subject.other blinder-oaxaca decomposition, expected longevity, health care usage, perceptions of care, racial disparities en_US
dc.title A Quantitative Analysis of Racial/Ethnic Disparities in Health Care Usage: The Roles of Perceptions of Care & Expected Longevity en_US
dc.type Dissertation en_US
dc.description.advisor Advisor(s): John A. Rizzo. Debra S. Dwyer. Committee Member(s): Mark R. Montgomery; Josephine Connolly-Schoonen. en_US
dc.mimetype Application/PDF en_US

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