National Healthcare Disparities Report - LDI Health Economist

Effectiveness of Care
n In all years, poor, low-income, and middle-income women were less likely to be screened for
osteoporosis than high-income women.
Also, in the NHQR:
n In all years, women age 85 and over were less likely to be screened for osteoporosis than women
ages 65-74. Women with Medicare managed care, Medicare and Medicaid, or Medicare fee for
service only were less likely to be screened for osteoporosis than women with Medicare and private
supplemental insurance.
Chapter 2 Musculoskeletal Diseases
NEW
Management: Arthritis Education Among Adults With Arthritis
Osteoarthritis is the most common form of arthritis, affecting about 12% of the general population. Patients
with symptomatic osteoarthritis who receive education about the natural history, treatment, and selfmanagement
of the disease have better knowledge and self-efficacy and experience less pain and functional
impairment (Pencharz & MacLean, 2004).
Figure 2.36. Adults with doctor-diagnosed arthritis who reported they had effective, evidence-based
arthritis education as an integral part of the management of their condition, by race/ethnicity and health
insurance, 2006 and 2009
20
Total
White
Black
Hispanic
20
Private Insurance
Public Insurance
No Insurance
15
15
Percent
10
Percent
10
5
5
0
2006
2009
0
2006
2009
Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey, 2006 and
2009.
Denominator: Adults with doctor-diagnosed arthritis.
Note: Estimates are age adjusted to the 2000 standard population. Health insurance refers to adults under age 65. White and Black
groups are non-Hispanic; Hispanic includes all races.
n In 2009, 11% of adults with doctor-diagnosed arthritis received effective, evidence-based arthritis
education (Figure 2.36).
n In 2006, Hispanics were more likely than non-Hispanic Whites to receive arthritis education.
100 National Healthcare Disparities Report, 2011