Social determinants of health: modeling and targeting patient propensity to attend pain clinic appointments

Daniel J. Brosius; Rahul Chaturvedi; Michael H. Andreae; Robert S. White; Lisa R. Witkin; Singh Nair; Naum Shaparin

doi:10.2217/pmt-2022-0059

Social determinants of health: modeling and targeting patient propensity to attend pain clinic appointments

Daniel J. Brosius, Rahul Chaturvedi, Michael H. Andreae, Robert S. White, Lisa R. Witkin, Singh Nair, Naum Shaparin

Anesthesiology

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (US)
Pages (from-to)	151-159
Number of pages	9
Journal	Pain Management
Volume	13
Issue number	3
DOIs	https://doi.org/10.2217/pmt-2022-0059
State	Published - Mar 1 2023

Keywords

access to care
adherence
chronic pain
clinic appointments
healthcare disparities
social determinants of health

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.2217/pmt-2022-0059

Cite this

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title = "Social determinants of health: modeling and targeting patient propensity to attend pain clinic appointments",

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.",

keywords = "access to care, adherence, chronic pain, clinic appointments, healthcare disparities, social determinants of health",

author = "Brosius, {Daniel J.} and Rahul Chaturvedi and Andreae, {Michael H.} and White, {Robert S.} and Witkin, {Lisa R.} and Singh Nair and Naum Shaparin",

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doi = "10.2217/pmt-2022-0059",

language = "English (US)",

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T2 - modeling and targeting patient propensity to attend pain clinic appointments

AU - Brosius, Daniel J.

AU - Chaturvedi, Rahul

AU - Andreae, Michael H.

AU - White, Robert S.

AU - Witkin, Lisa R.

AU - Nair, Singh

AU - Shaparin, Naum

PY - 2023/3/1

Y1 - 2023/3/1

N2 - 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.

AB - 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.

KW - access to care

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KW - healthcare disparities

KW - social determinants of health

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Social determinants of health: modeling and targeting patient propensity to attend pain clinic appointments

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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