Disparities in influenza treatment among disabled Medicaid patients in Georgia.

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Bibliographic Details
Title: Disparities in influenza treatment among disabled Medicaid patients in Georgia.
Authors: Leon K (AUTHOR), McDonald MC (AUTHOR), Moore B (AUTHOR), Rust G (AUTHOR)
Source: American Journal of Public Health. Oct2009 Supplement, Vol. 99 Issue S2, pS378-82. 1p.
Subjects: Medicaid beneficiaries, Public health research, Medical care for people with disabilities, Seasonal influenza, Influenza treatment, Medical care
Geographic Terms: Georgia
Abstract: OBJECTIVES: We explored possible disparities in seasonal influenza treatment in Georgia's disabled Medicaid population. We sought to determine whether racial/ethnic, geographic, or gender disparities existed in antiviral drugs usage in the treatment of influenza. METHODS: Medicaid claims were analyzed from 69 556 clients with disabilities enrolled in a Georgia Medicaid disease management program. RESULTS: There were 519 patients who met inclusion criteria (i.e., adults aged 18-64 years with an influenza diagnosis on a 2006 or 2007 Medicaid claim). Roughly one third (36.2%) of patients were classified as African American, 44.5% as White, and 19.3% as 'other.' Most patients had 2 or more comorbid chronic diseases. Antivirals were used in only 14.5% of patients diagnosed with influenza. Treatment rates were nearly 3 times higher for White patients (19.5%) than for African American patients (6.9%). CONCLUSIONS: Our analysis suggests limited use of antiviral treatment of influenza overall, as well as significant racial disparities in treatment. Additional studies are needed to further explore this finding and its implications for care of racial/ethnic minority populations during seasonal influenza and for effective pandemic influenza planning for racial/ethnic minority populations. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Disparities in influenza treatment among disabled Medicaid patients in Georgia.
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  Data: <searchLink fieldCode="AR" term="%22Leon+K%22">Leon K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McDonald+MC%22">McDonald MC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moore+B%22">Moore B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rust+G%22">Rust G</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Oct2009 Supplement, Vol. 99 Issue S2, pS378-82. 1p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Medicaid+beneficiaries%22">Medicaid beneficiaries</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health+research%22">Public health research</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+for+people+with+disabilities%22">Medical care for people with disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Seasonal+influenza%22">Seasonal influenza</searchLink><br /><searchLink fieldCode="DE" term="%22Influenza+treatment%22">Influenza treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Georgia%22">Georgia</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: We explored possible disparities in seasonal influenza treatment in Georgia's disabled Medicaid population. We sought to determine whether racial/ethnic, geographic, or gender disparities existed in antiviral drugs usage in the treatment of influenza. METHODS: Medicaid claims were analyzed from 69 556 clients with disabilities enrolled in a Georgia Medicaid disease management program. RESULTS: There were 519 patients who met inclusion criteria (i.e., adults aged 18-64 years with an influenza diagnosis on a 2006 or 2007 Medicaid claim). Roughly one third (36.2%) of patients were classified as African American, 44.5% as White, and 19.3% as 'other.' Most patients had 2 or more comorbid chronic diseases. Antivirals were used in only 14.5% of patients diagnosed with influenza. Treatment rates were nearly 3 times higher for White patients (19.5%) than for African American patients (6.9%). CONCLUSIONS: Our analysis suggests limited use of antiviral treatment of influenza overall, as well as significant racial disparities in treatment. Additional studies are needed to further explore this finding and its implications for care of racial/ethnic minority populations during seasonal influenza and for effective pandemic influenza planning for racial/ethnic minority populations. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2008.157602
    Languages:
      – Code: eng
        Text: English
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        PageCount: 1
        StartPage: S378
    Subjects:
      – SubjectFull: Medicaid beneficiaries
        Type: general
      – SubjectFull: Public health research
        Type: general
      – SubjectFull: Medical care for people with disabilities
        Type: general
      – SubjectFull: Seasonal influenza
        Type: general
      – SubjectFull: Influenza treatment
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Georgia
        Type: general
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      – TitleFull: Disparities in influenza treatment among disabled Medicaid patients in Georgia.
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            NameFull: Leon K
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            NameFull: McDonald MC
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            NameFull: Moore B
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            NameFull: Rust G
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              Text: Oct2009 Supplement
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              Y: 2009
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