Title | Social determinants of health: modeling and targeting patient propensity to attend pain clinic appointments. |
Publication Type | Journal Article |
Year of Publication | 2023 |
Authors | Brosius DJ, Chaturvedi R, Andreae MH, White RS, Witkin LR, Nair S, Shaparin N |
Journal | Pain Manag |
Date Published | 2023 Jan 31 |
ISSN | 1758-1877 |
Abstract | Aim: We sought to investigate the impact of social determinants of health on pain clinic attendance. Materials & methods: Retrospective data were collected from the Pain Center at Montefiore Medical Center from 2016 to 2020 and analyzed with multivariable logistic regression. Results: African-Americans were less likely to attend appointments compared with White patients (odds ratio [OR]: 0.73; 95% CI: 0.70-0.77; p < 0.001). Males had decreased attendance compared with females (OR: 0.89; 95% CI: 0.87-0.92; p < 0.001). Compared with Commercial, those with Medicaid (OR: 0.69; 95% CI: 0.66-0.72; p < 0.001) and Medicare (OR: 0.76; 95% CI: 0.73-0.80; p < 0.001) insurance had decreased attendance. Conclusion: Significant disparities exist in pain clinic attendance based upon social determinants of health including race, gender and insurance type. |
DOI | 10.2217/pmt-2022-0059 |
Alternate Journal | Pain Manag |
PubMed ID | 36718774 |