{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:11:37Z","timestamp":1790795497867,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T00:00:00Z","timestamp":1670198400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Racial\/ethnic disparities exist in many aspects of health care, but data on racial\/ethnic disparities for neurodegenerative diseases (NDDs), such as dementia and Parkinson's disease (PD), are limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used North and South Carolina Medicare claims from 2013 to 2017 to evaluate disparities in incidence of NDDs and in health\u2010care utilization and outcomes for patients with NDDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Disparities in incidence of NDD between Black and White beneficiaries narrowed by 0.37 per 100 person\u2010years from 2014 to 2017. After thorough covariate adjustment, Black beneficiaries had a 4% higher risk of all\u2010cause hospitalization, spent 8% more days in skilled nursing facilities and 14% fewer days in hospice facilities, were 38% less likely to receive physical\/occupational therapy services, were 8% less likely to receive dementia medications, and were 19% less likely to receive PD medications than White beneficiaries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Effective system\u2010level approaches to promote health equity in NDD diagnosis, treatment, and outcomes are clearly needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Highlights<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>\nRacial disparities in neurodegenerative disease incidence narrowed between 2014 and 2017.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Black patients were less likely than White patients to receive hospice services.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Black patients were less likely than White patients to receive physical therapy.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Black patients were less likely than White patients to receive Alzheimer's disease or Parkinson's disease medications.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>There is a shortage of neurologists in counties with high dementia incidence.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/alz.12891","type":"journal-article","created":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T10:24:10Z","timestamp":1670235850000},"page":"2376-2388","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Racial\/ethnic disparities in dementia incidence, outcomes, and health\u2010care 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