Health Care Sciences & Services Health Policy & Services Life Sciences & Biomedicine Science & Technology
Using two nationally representative data sets, this study examined health care expenditure disparities between Caucasians and different Asian American subgroups. Multivariate analyses demonstrate that Asian Americans, as a group, have significantly lower total expenditures compared with Caucasians. Results also point to considerable heterogeneities in health care spending within Asian American subgroups. Findings suggest that language assistance programs would be effective in reducing disparities among Caucasians and Asian American subgroups with the exception of Indians and Filipinos, who tend to be more proficient in English. Results also indicate that citizenship and nativity were major factors associated with expenditure disparities. Socioeconomic status, however, could not explain expenditure disparities. Results also show that Asian Americans have lower physician and pharmaceutical costs but not emergency department or hospital expenditures. These findings suggest the need for culturally competent policies specific to Asian American subgroups and the necessity to encourage cost-effective treatments among Asian Americans.
Health Care Expenditures Among Asian American Subgroups
Creators
Jie Chen - University of Maryland College Park, MD, 20742 USA
Arturo Vargas-Bustamante - University of California, Los Angeles
Alexander N. Ortega - University of California, Los Angeles
Publication Details
Medical care research and review, v 70(3), pp 310-329
Publisher
Sage
Number of pages
20
Grant note
P50HL105188 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
P50 HL105188 / NHLBI; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
R24HD041041 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
City University of New York Diversity Projects Development Program
Resource Type
Journal article
Language
English
Academic Unit
Health Management and Policy
Web of Science ID
WOS:000318524000004
Scopus ID
2-s2.0-84877834562
Other Identifier
991019296809304721
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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
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