Geography and Racial Health Disparities

Amitabh Chandra and Jonathan Skinner

No 9513, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: An extensive literature has documented racial, ethnic, and socioeconomic disparities in health care and health outcomes. We argue that the influence of geography in medical practice needs to be taken seriously for both the statistical measurement of racial disparities, and in designing reforms to reduce disparities. Past research has called attention to disparities that occur within hospitals or provider groups; for example black patients who are treated differently from whites within a hospital. We focus on a different mechanism for disparities; African-Americans tend to live in areas or seek care in regions where quality levels for all patients, black and white, are lower. Thus ensuring equal access to health care at the local or hospital level may not by itself erase overall health care disparities. However, reducing geographic disparities in both the quality of care, and the quality of health care decisions by patients, could have a first-order impact on improving racial disparities in health care and health outcomes.

JEL-codes: I1 J1 (search for similar items in EconPapers)
Date: 2003-02
New Economics Papers: this item is included in nep-geo and nep-ure
Note: EH
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (28)

Published as Anderson, Norman B., Rodolfo A. Bulatao, and Barney Cohen (eds). Critical Perspectives: on Racial and Ethnic Differences in Health in Late Life, National Research Council 2004. The National Academies Press: Washington D.C.

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