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. 2024 Jan 24;20(4):3000–3020. doi: 10.1002/alz.13612

TABLE 3.

Health service use (n = 11).

Author, Year Study design

Total sample (N),

Racial/ethnic populations

Results

Gilligan et al., 63 2013

Cross‐sectional, the Medicaid analytic extract file from Centers for Medicare and Medicaid Services, 2004

N = 158,974

California (N = 53,013):

White: n = 25,935

Black: n = 4006

Hispanic: n = 7574

Other: n = 8503

Unknown: n = 6995

Florida (N = 41,292):

White: n = 21,830

Black: n = 4542

Hispanic: n = 10,526

Other: n = 182

Unknown: n = 4212

New Jersey (N = 20,910):

White: n = 13,458

Black: n = 2930

Hispanic: n = 1457

Other: n = 167

Unknown: n = 2898

New York (N = 43,759):

White: n = 27,306

Black: n = 4702

Hispanic: n = 1926

Other: n = 1797

Unknown: n = 8028

  • Costs (inpatient care and long‐term care): Black > White, Hispanic, Other; White, Hispanic > Other

Hermosura et al., 64 2020

Cross‐sectional, Agency for Healthcare Research and Quality, Health Care Cost and Utilization Project, Hawaii State Inpatient Databases, 2010–2014

N = 10,645

Non‐Hispanic White: n = 6926

Native Hawaiians and other Pacific Islanders (NHOPI): n = 3719

  • Hospital length of stay: Non‐Hispanic White > NHOPI

  • Readmitted within the same month or the month after: NHOPI > Non‐Hispanic White

Ornstein et al., 65 2018

Longitudinal, Washington Heights‐Inwood Columbia Aging Project linked to Medicare claims, 1999–2010

Total N = 4604

Full sample at dementia diagnosis: N = 186

Non‐Hispanic White: n = 37

Non‐Hispanic Black: n = 47

Hispanic: n = 102

Decedent sample with dementia: N = 86

Non‐Hispanic White: n = 26

Non‐Hispanic Black: n = 23

Hispanic: n = 37

  • Hospital admissions after diagnosis: Non‐Hispanic Black > Non‐Hispanic White

  • Medicare expenditures from diagnosis to death: Non‐Hispanic Black > Non‐Hispanic White

Gorges et al., 66 2019

Cross‐sectional, National Medicaid Analytic eXtract linked with Medicare claims, Master Beneficiary Summary Files for demographics and Medicare Provider Analysis and Review for hospitalizations, 2012

Total N = 1,659,645 elderly, dual‐eligible long‐term care users

N with dementia = 51.7%

Of total sample of elderly, dual‐eligible long‐term care users:

Non‐Hispanic White: n = 57.3%

Non‐Hispanic Black: n = 19%

Hispanic: n = 14.8%

Asian: n = 9%

  • Hospital admission (including avoidable hospitalization): Non‐Hispanic Black > Other Races (Non‐Hispanic White, Hispanic, Asian)

  • Home‐ and community‐based long‐term care services (HCBS) expenditures: Non‐Hispanic White > Other Races

  • Hospital expenditures: Non‐Hispanic Black, Hispanic > Non‐Hispanic White

  • Total expenditures: Non‐Hispanic White > Other races

Husaini et al., 67 2003

Longitudinal, Tennessee Medicare claims, 1991–1993

Total N = 33,688

N with dementia = 1366

White: n = 1186

African American: n = 180

  • Hospitalization length: African American > White

  • Health service use (use of inpatient and emergency services), healthcare costs: African American > White

Husaini et al., 68 2015

Cross‐sectional, Tennessee Hospital Discharged database, 2008

Total N = 154,945

N with dementia = 5,556

White: n = 4847

Black: n = 709

  • Readmissions and hospital stay: Black > White

  • Costs of hospital care: Black > White

Chen et al., 69 2021

Cross‐sectional, Healthcare Cost & Utilization Project with American Hospital Association Annual Survey, 2015

N = 14,135

White: n = 10,733

African American: n = 1651

Latinx: n = 1751

  • Potentially preventable hospitalization (PPH) for a chronic condition: African American, Latinx > White

Pereira et al., 70 2022

Cross‐sectional, data collected using the Care Ecosystem Program, 2019–2020

N = 133 dyads

White: n = 87

Black: n = 46

  • Emergency department and ambulance use: Black > White

  • Non‐emergency hospitalization: White > Black

Miller et al., 71 2010

Longitudinal, Clinical Antipsychotic Trial of Intervention Effectiveness—AD at baseline and 3, 6, and 9 months

N = 421

Non‐Hispanic White: n = 79%

Black: n = 18%*

Other: n = 3%*

  • Outpatient costs: Non‐Hispanic White > Other races

Miller et al., 72 2009

Longitudinal, Clinical Antipsychotic Trial of Intervention Effectiveness—AD at baseline and 3, 6, and 9 months

N = 421

Non‐Hispanic White: n = 79%

Black: n = 18%*

Other: n = 3%*

*pull information from another article (“Effectiveness of Atypical Antipsychotic Drugs in Patients with Alzheimer's Disease” by Schneider et al.)

  • Health utilities (health service, outpatient services, AD‐related services): Non‐Hispanic White > Other races

Park et al., 73 2020

Cross‐sectional, Medical Expenditure Panel Survey, 1996–2017

N without cognitive deficit = 57,057

N with cognitive deficits without AD/ADRD = 10,088

N with AD/ADRD = 3,420

White: n = 2028

Black: n = 693

Asian: n = 120

Latino: n = 579

  • Out of pocket expenditures: White > Black, Asian, Latino

  • Prescription drug expenditures: White > Black

  • Outpatient expenditures: White > Asian

  • Emergency room expenditures: White > Asian

Abbreviations: AD, Alzheimer's disease; ADRD, Alzheimer's disease and related dementias.