Re: RAND study finds women with heart disease and diabetes less likely to receive proper care

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William Wagner wrote:
> Public release date: 14-May-2007
>
> "We found that the routine medical care received by women for their
> heart disease and diabetes was not as good as the care received by men,"
>
> "The largest disparity found by researchers was that women were less
> likely to lower their cholesterol to recommended levels after suffering
> a heart attack or other acute cardiac event, or if they had diabetes."
>
> ............................
>
> Contact: RAND Office of Media Relations
> media@rand.org
> 703-413-1100 x5117
> RAND Corporation
> RAND study finds women with heart disease and diabetes less likely to
> receive proper care
>
> Women with heart disease and diabetes are less likely to receive several
> types of routine outpatient medical care than men who have similar
> health problems, according to a RAND Corporation study issued today.
> While previous research has shown that women less frequently receive
> expensive medical care such as angioplasty for heart disease, few
> studies have evaluated gender disparities in managed care settings.
> All the patients in the RAND Health study had either private insurance
> or were enrolled in Medicare managed care plans, had been diagnosed with
> heart disease and/or diabetes, and had visited health providers to
> receive care. The study is published in the May/June edition of the
> journal Women¹s Health Issues.
>
> "We found that the routine medical care received by women for their
> heart disease and diabetes was not as good as the care received by men,"
> said Chloe Bird, the study¹s lead author and a sociologist at RAND, a
> nonprofit research organization. "These are low-cost treatments that can
> forestall serious health problems in the future -- and women with
> diabetes and heart disease are not receiving them as often as men with
> similar problems."
> Researchers studied more than 50,000 men and women enrolled in both
> commercial and Medicare managed care plans in 1999. The study examined
> 11 different screening tests, treatments or measurements of health
> status shown to be important to all people diagnosed with heart disease
> or diabetes.
> Among people enrolled in commercial health plans, women were
> significantly less likely than men to receive the care evaluated in six
> of the 11 measures, while women enrolled in the Medicare plans were less
> likely to receive the care evaluated in four of the 11 measures.
> The largest disparity found by researchers was that women were less
> likely to lower their cholesterol to recommended levels after suffering
> a heart attack or other acute cardiac event, or if they had diabetes.
> For example, women with diabetes were 19 percent less likely than men to
> have their cholesterol within recommended ranges if they were enrolled
> in Medicare and 16 percent less likely than men to have cholesterol with
> recommended ranges if enrolled in commercial health plans.
> Other types of care women received less often than men included being
> prescribed ACE inhibitor drugs for chronic heart failure and receiving
> prescriptions for beta blocker drugs following a heart attack.
> Women with diabetes in both Medicare and commercial health plans were
> more likely to have received eye exams than their male peers.
> The disparities were found among women even though they generally see a
> doctor or other health care provider more often than men. The
> disparities also remained after researchers accounted for socioeconomic
> factors that may influence care.
> "These were all insured people. They all had access to medical care and
> they were all diagnosed with these diseases," Bird said. "The
> disparities cannot be explained by a lack of patient reporting or not
> recognizing the symptoms of a disease."
> Bird said that more research needs to be done to understand why there
> are gender differences in outpatient care.
> "As we become a nation with an older population, the type of routine
> preventive care we studied will become even more important," Bird said.
> "Understanding these gender differences may allow us to improve care."
> The RAND study is one of four published in the latest edition of Women¹s
> Health Issues reporting on studies that found gender disparities among
> patients treated in managed care settings.
> "Taken together, these studies make a compelling case for routine
> assessment and reporting of selected quality indicators by gender," said
> Dr. Allen Fremont, the lead author of an accompanying editorial and
> co-author of the RAND study. Fremont is a natural scientist and
> sociologist at RAND.
> ###
> Funding for the RAND study was provided by the U.S. Agency for
> Healthcare Research and Quality. The article is titled "Does Quality of
> Care for Cardiovascular Disease and Diabetes Differ by Gender for
> Enrollees in Managed Care Plans""
> Other authors of the study are Dr. Arlene S. Bierman of the University
> of Toronto; Steve Wickstrom and Thomas Horstman of Ingenix; Mona Shah of
> United Healthcare; Thomas Rector of the Minneapolis Veterans
> Administration Medical Center and the University of Minnesota; and Dr.
> Jose J. Escarce, of RAND and the David Geffen School of Medicine at UCLA.
> RAND Health, a division of the RAND Corporation, is the nation¹s largest
> independent health policy research program, with a broad research
> portfolio that focuses on quality, costs and delivery, among other
> topics.
>
> The RAND Corporation is a nonprofit research organization providing
> objective analysis and effective solutions that address the challenges
> facing the public and private sectors around the world. To sign up for
> RAND e-mail alerts: http://www.rand.org/publications/email.html
>
> --
>
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