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Primary Care Access and Quality: Two Sides of the Same Coin
Arch Pediatr Adolesc Med. 2004;158:185.
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The recent article by Elster and colleagues, titled "Racial and Ethnic Disparities in Health Care for Adolescents: A Systematic Review of the Literature," makes an important contribution to the literature by summarizing a decade or more of research on disparities in access to primary health care services among adolescents and children.1 The findings are important in their own right, but they also lend important context to the interpretation of research on racial/ethnic disparities in the quality of health care for children.
Our similar recent review of the literature on disparities in the primary care experiences of children and adolescents corroborates findings on access to care, but also highlights disparities in continuity of care, in aspects of the patient-provider relationship, and in the comprehensiveness of services available and provided.2 One criticism of this body of research on disparities in primary care quality is that ratings are dependent on basal expectations for . . . [Full Text of this Article]
Gregory D. Stevens, PhD
Center for Healthier Children, Families, and Communities
University of California Los Angeles
1100 Glendon Ave, Suite 850
Los Angeles, CA 90024
Leiyu Shi, DrPH, MPH, MBA
Baltimore, Md
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Primary Care Access and Quality: Two Sides of the Same Coin—Reply
Arthur Elster
Arch Pediatr Adolesc Med. 2004;158(2):185-186.
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