Experience of primary care by racial and ethnic groups in the United States

OBJECTIVES. The purpose of this study was to examine the experience of prim ary care by racial and ethnic groups and identify aspects of primary care w here significant disparities in experience exist across racial and ethnic g roups. METHODS. Data for this study came from the Household Component of the 1997- 1998 Medical Expenditure Panel Survey (MEPS), a nationally representative s urvey Elf: the civilian noninstitutionalized population of the United State s. Measures were identified within MEPS that denote race, ethnicity, experi ence of primary care, and socioeconomic covariates associated with access t o care, RESULTS. Racial and ethnic minorities experienced worse primary care, parti cularly in the first-contact aspect, than did white Americans. Their usual sources of care were more likely to be hospital settings than private clini cs. They faced greater barriers accessing their usual source of care (USC), finding it more difficult to get an appointment and waiting longer during an appointment. Many of the significant differences persist after adjustmen t for sociodemographic and health-status characteristics. CONCLUSIONS. Racial and ethnic disparity in primary care experience is not simply a reflection of sociodemographic and health-status differences acros s racial/ethnic groups. Efforts must be made to reduce nonfinancial as well as financial barriers to care and ensure that quality primary care is prov ided in all settings, public as well as private, and to individuals of all. colors.