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Mar 20, 2025; e14610.

Does Low-Value Care Explain Health Care Utilization Inequities Among Asian and Latino Populations?

Sungchul Park, Jie Chen, Arturo Vargas Bustamante, Alexander N Ortega
Author Information
  1. Sungchul Park: Department of Health Policy and Management, College of Health Science, Korea University, Seoul, Republic of Korea. ORCID
  2. Jie Chen: Department of Health Policy and Management, School of Public Health, University of Maryland, College Park, Maryland, USA.
  3. Arturo Vargas Bustamante: Department of Health Policy and Management, Fielding School of Public Health, UCLA, UCLA Latino Policy and Politics Institute, Los Angeles, California, USA. ORCID
  4. Alexander N Ortega: Thompson School of Social Work and Public Health, University of Hawai'i at M��noa, Honolulu, Hawaii, USA. ORCID
PMID: 40110657 DOI: 10.1111/1475-6773.14610

Abstract

OBJECTIVES: To examine differences in the utilization of low-value care among Asian and Latino subpopulations compared to the White population.
STUDY SETTING AND DESIGN: We analyzed data from a repeated cross-sectional national survey.
DATA SOURCES AND ANALYTICAL SAMPLE: Our sample included a non-Latino White population and Asian and Latino subpopulation groups using data from the 2013-2021 Medical Expenditure Panel Survey.
PRINCIPAL FINDINGS: Asian and Latino subpopulations used health care services less frequently than the White population, with adjusted differences ranging from -3.2% points (95% CI: -3.9, -2.4) to -9.4 (-10.1, -8.7) for outpatient visits, -5.2 (-5.9, -4.5) to -12.4 (-15.2, -9.6) for office-based provider visits, and -5.2 (-6.7, -3.8) to -19.1 (-21.6, -16.7) for prescription drug fills. Although certain low-value services were reported less among Asian and Latino subpopulations, there were no differences in almost six out of twelve services when compared to the White population. These patterns were notable among Asian subpopulations (Indians, Chinese, Filipinos, and other Asians). Additionally, Asian and Latino subpopulation groups had distinct patterns in the use of low-value care. Compared to the White population, Asian subpopulation groups had lower utilization of low-value medications including benzodiazepines for depression (-11.5 [-15.1, -8.0] to -13.8 [-24.4, -3.3]) and opioids for back pain (-4.4 [-8.5, -0.3] to -10.1 [-13.6, -6.7]). Latino subpopulation groups had higher utilization of low-value cervical cancer screening (5.7 [3.0-8.4] to 24.5 [16.9-32.1]) and lower utilization of magnetic resonance imaging/computed tomography for back pain (-1.6 [-2.4, -0.8] to -4.9 [-7.1, -2.6]) than the White population.
CONCLUSIONS: Despite lower overall health care utilization, Asian and Latino subpopulations do not necessarily use the low-value care examined in this study less than the White population. This suggests that lower overall health care utilization among Asian and Latino subpopulations may not solely be attributed to lower use of low-value care.

Keywords

ethnicity health disparity health inequity low���value care race

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Grants

  1. R01AG062315/NIA NIH HHS
  2. RF1AG083175/NIA NIH HHS
Journal Article
Article has an altmetric score of 1

Word Cloud

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