Accounting for apparent "reverse" racial disparities in Department of Veterans Affairs (VA)-based medical care: influence of out-of-VA care

Am J Public Health. 2004 Dec;94(12):2076-8. doi: 10.2105/ajph.94.12.2076.


Conclusions regarding racial differences in care following a newly elevated prostate-specific antigen (PSA) test at the Department of Veterans Affairs (VA) may differ depending on whether follow-up care outside the VA is considered. Consecutive Philadelphia, Pa, VA patients with newly elevated PSA tests (n = 183) were interviewed 1 year after baseline. Among exclusive VA users, Blacks had higher rates of urology referrals and prostate biopsies compared with Whites. However, these racial differences were attenuated when care obtained outside the VA also was considered.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Biopsy, Needle
  • Blacks* / statistics & numerical data
  • Hospitals, Veterans* / statistics & numerical data
  • Humans
  • Male
  • Prostate / pathology
  • Prostate-Specific Antigen / blood
  • Prostatic Neoplasms / diagnosis
  • Prostatic Neoplasms / ethnology*
  • Referral and Consultation
  • United States
  • Urology
  • Whites / statistics & numerical data


  • Prostate-Specific Antigen