Assessment of racial/ethnic disparities in timeliness and comprehensiveness of dementia diagnosis in California
JAMA Neurology — Tsoy E, Kiekhofer RE, Guterman EL, et al. | June 11, 2021
Utilizing 2013-2015 California Medicare fee-for-service data, researchers conducted this retrospective cross-sectional study to investigate the correlations of race/ethnicity, individual factors, and contextual factors with the timeliness and comprehensiveness of dementia diagnosis. Data were analyzed from 10,472 unique beneficiaries (6,504 women [62.1%]; mean [SD] age, 82.9 [8.0] years). Findings suggested that those who identified as Asian, Black, or Hispanic were less likely to receive a timely diagnosis than White beneficiaries. Asian beneficiaries were also given fewer diagnostic evaluation elements. After adjusting for age, sex, comorbidity burden, neighborhood disadvantage, and rurality, these associations remained significant. Such findings underscore substantial disparities in the timeliness and comprehensiveness of dementia diagnosis. To achieve equitable care for people living with dementia across all racial/ethnic groups, public health interventions are required.
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