Does Low‐Value Care Explain Health Care Utilization Inequities Among Asian and Latino Populations?

TL;DR

Asian and Latino populations use health care less than White populations, but this isn't always because they use less low-value care.

Contribution

The study reveals that lower health care use among Asian and Latino groups isn't always due to reduced low-value care.

Findings

Asian and Latino subpopulations used health care services less than the White population.

Some low-value care services showed no difference in use between Asian/Latino and White populations.

Latino groups had higher use of low-value cervical cancer screening compared to White populations.

Abstract

To examine differences in the utilization of low‐value care among Asian and Latino subpopulations compared to the White population.

We analyzed data from a repeated cross‐sectional national survey.

Our sample included a non‐Latino White population and Asian and Latino subpopulation groups using data from the 2013–2021 Medical Expenditure Panel Survey.

Asian and Latino subpopulations used health care services less frequently than the White population, with adjusted differences ranging from −3.2% points (95% CI: −3.9, −2.4) to −9.4 (−10.1, −8.7) for outpatient visits, −5.2 (−5.9, −4.5) to −12.4 (−15.2, −9.6) for office‐based provider visits, and −5.2 (−6.7, −3.8) to −19.1 (−21.6, −16.7) for prescription drug fills. Although certain low‐value services were reported less among Asian and Latino subpopulations, there were no differences in almost six out of twelve services when compared to the White population. These patterns were notable among Asian subpopulations (Indians, Chinese, Filipinos, and other Asians). Additionally, Asian and Latino subpopulation groups had distinct patterns in the use of low‐value care. Compared to the White population, Asian subpopulation groups had lower utilization of low‐value medications including benzodiazepines for depression (−11.5 [−15.1, −8.0] to −13.8 [−24.4, −3.3]) and opioids for back pain (−4.4 [−8.5, −0.3] to −10.1 [−13.6, −6.7]). Latino subpopulation groups had higher utilization of low‐value cervical cancer screening (5.7 [3.0–8.4] to 24.5 [16.9–32.1]) and lower utilization of magnetic resonance imaging/computed tomography for back pain (−1.6 [−2.4, −0.8] to −4.9 [−7.1, −2.6]) than the White population.

Despite lower overall health care utilization, Asian and Latino subpopulations do not necessarily use the low‐value care examined in this study less than the White population. This suggests that lower overall health care utilization among Asian and Latino subpopulations may not solely be attributed to lower use of low‐value care.

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