Prepared under Contract from
the Agency for Healthcare Research and Quality and
the Office of the Assistant Secretary for Planning and Evaluation
Purchase Order HHSP233200800278A
Judy Ng, PhD
Sarah Hudson Scholle, MPH, DrPH
National Committee for Quality Assurance
This report discusses disparities in care of baby boom patients with diabetes who become eligible for Medicare. It also examines disparities related to cardiovascular conditions because of their prevalence among older adults and their association with diabetes. Specifically, this report contains 1.) an overarching conceptual model for disparities in midlife adults (45–64) vs. older adults (>65); 2.) key findings from the literature on disparities in health care quality among midlife and older adults, including disparities based on gender, race/ethnicity and socioeconomic factors; and 3.) an analysis of data from the National Medical Expenditures Panel Survey, to explore whether patterns of disparities differ between midlife and older adults, guided by specific research questions. A discussion of policy implications and recommendations for future directions for research into disparities of care, particularly among older adults, is also included.
Material contained in this publication is in the public domain and may be reproduced, fully or partially, without permission of the Federal Government. The courtesy of attribution is requested. The recommended citation follows:
Office of Health Policy, ASPE(2010) Disparities in Quality of Care for Midlife Adults (Ages 45–64) Versus Older Adults (Ages >65)
Washington, DC: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation.