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Review
. 2012 Jun;47(3 Pt 2):1278-99.
doi: 10.1111/j.1475-6773.2012.01410.x. Epub 2012 Apr 19.

Elucidating the role of place in health care disparities: the example of racial/ethnic residential segregation

Kellee White  1 , Jennifer S Haas, David R Williams
Affiliations
Review

Elucidating the role of place in health care disparities: the example of racial/ethnic residential segregation

Kellee White et al. Health Serv Res. 2012 Jun.

Abstract

Objective: To develop a conceptual framework for investigating the role of racial/ethnic residential segregation on health care disparities.

Data sources and settings: Review of the MEDLINE and the Web of Science databases for articles published from 1998 to 2011.

Study design: The extant research was evaluated to describe mechanisms that shape health care access, utilization, and quality of preventive, diagnostic, therapeutic, and end-of-life services across the life course.

Principal findings: The framework describes the influence of racial/ethnic segregation operating through neighborhood-, health care system-, provider-, and individual-level factors. Conceptual and methodological issues arising from limitations of the research and complex relationships between various levels were identified.

Conclusions: Increasing evidence indicates that racial/ethnic residential segregation is a key factor driving place-based health care inequalities. Closer attention to address research gaps has implications for advancing and strengthening the literature to better inform effective interventions and policy-based solutions.

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Figures

Figure 1
Figure 1
Conceptual Model Describing the Contribution of Racial/Ethnic Residential Segregation across the Life Span and Its Influence on the Continuum of Health Care
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