Accounting for Apparent "Reverse" Racial Disparities in Department of Veterans Affairs (VA)-Based Medical Care: Influence of Out-of-VA Care

Andrea D Gurmankin, Daniel Polsky & Kevin G Volpp
Conclusions regarding racial differences in care following a nelwy elevated prosate-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...
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