Table 2:
Baseline patient measures of healthcare affordability, accessibility, and availability at time of OC diagnosis by patient race (N=9,726)
| Variable | Non-Hispanic White | Non-Hispanic Black | Hispanic |
|---|---|---|---|
| N | 8,474 | 672 | 580 |
| AFFORDABILITY | |||
| Patient is dual enrolled in Medicaid | 959 (11.3) | 285 (42.4) | 285 (49.1) |
| Census Tract in highest quartile: residents of Black race | 1,757 (20.7) | 539 (80.2) | 93 (16.0) |
| Census Tract in highest quartile: adults 25+ < high school education | 1,762 (20.8) | 324 (48.2) | 299 (51.5) |
| Census tract in highest quartile: households below poverty | 1,773 (20.9) | 390 (58.0) | 230 (39.6) |
| County of residence: % residents without health insurance, Mean (SD) | 14.0 (5.0) | 15.8 (4.6) | 16.2 (5.1) |
| ACCESSIBILITY | |||
| Patient lives in metropolitan area | 7,044 (83.1) | 604 (89.9) | 531 (91.6) |
| Patient lives in rural area | 204 (2.4) | <11α | <11α |
| AVAILABILITY | |||
| County of residence characteristics | |||
| Number of hospitals per 1K population, Mean (SD) | 2.0 (2.2) | 2.2 (2.1) | 1.5 (1.6) |
| Hospitals with ACS cancer program per 1K population, Mean (SD) | 0.4 (0.5) | 0.5 (0.4) | 0.3 (0.3) |
| Hospitals with medical schools per 1K population, Mean (SD) | 0.4 (0.5) | 0.4 (0.4) | 0.3 (0.4) |
| PCPs per 1K population, Mean (SD) | 75.7 (28.2) | 76.7 (26.8) | 73.2 (24.3) |
| Ob-Gyns per 1K population, Mean (SD) | 12.1 (7.5) | 15.2 (8.5) | 12.0 (6.0) |
| Ob-Gyns seeing patients per 1K population, Mean (SD) | 11.8 (7.3) | 14.7 (8.3) | 11.6 (5.8) |
| HRR characteristics | |||
| Acute care beds available per 1K population, Mean (SD) | 2.3 (0.5) | 2.6 (0.6) | 2.0 (0.4) |
| Physicians per 100K population, Mean (SD) | 210.1 (30.6) | 206.2 (29.0) | 206.4 (31.8) |
| PCPs per 100K population, Mean (SD) | 74.5 (11.2) | 71.9 (9.9) | 73.9 (12.0) |
| Hematologists/Oncologists per 100K population, Mean (SD) | 3.3 (0.9) | 3.3 (0.9) | 3.1 (0.8) |
| Ob-Gyns per 100K women 15–44, Mean (SD) | 60.0 (14.7) | 60.0 (11.9) | 56.5 (14.7) |
| Percentage of Medicare beneficiaries that died that year, Mean (SD) | 4.4 (0.6) | 4.6 (0.5) | 4.0 (0.5) |
| Percentage of beneficiaries seeing a PCP that year, Mean (SD) | 77.2 (4.8) | 77.3 (5.0) | 74.0 (4.6) |
| Discharges for ambulatory sensitive conditions per 1K, Mean (SD) | 57.6 (18.3) | 65.2 (16.4) | 51.4 (13.5) |
| Hospital discharge 30-day readmission rates, Mean (SD) | 15.5 (1.2) | 16.1 (1.0) | 15.4 (1.2) |
| Hospital discharge 30-day return to ER rates, Mean (SD) | 19.6 (1.4) | 19.8 (1.3) | 19.3 (1.5) |
α
Value anonymized to enhance confidentiality by suppressing small cell sizes.
Abbreviations: standard deviation (SD); interquartile range (IQR); obstetrician-gynecologist (Ob-Gyn); primary care physician (PCP); American Cancer Society (ACS); emergency room (ER); ovarian cancer (OC).