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Differences in Primary Care Management of Patients with Adult Attention Deficit Hyperactivity Disorder (ADHD) Based on Race and Ethnicity

Title: Differences in Primary Care Management of Patients with Adult Attention Deficit Hyperactivity Disorder (ADHD) Based on Race and Ethnicity
Language: English
Authors: Jillian Alai; Elisabeth F. Callen; Tarin Clay; David W. Goodman; Lenard A. Adler (ORCID 0000-0002-9812-8234); Stephen V. Faraone (ORCID 0000-0002-9217-3982)
Source: Journal of Attention Disorders. 2024 28(5):923-935.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 13
Publication Date: 2024
Document Type: Journal Articles; Reports - Research
Descriptors: Attention Deficit Hyperactivity Disorder; Adults; Racial Differences; Ethnicity; Primary Health Care; Whites; Minority Groups; Clinical Diagnosis; Comorbidity; Drug Therapy; Intervention; Patients; Outcomes of Treatment
DOI: 10.1177/10870547231218038
ISSN: 1087-0547; 1557-1246
Abstract: Objective: Examine differences in care patterns around adult ADHD between race (White/Non-White) and ethnic (Hispanic/Non-Hispanic) groups utilizing existing quality measures (QMs), concerning diagnosis, treatment, and medication prescribing. Methods: The AAFP National Research Network in partnership with SUNY Upstate Medical used an EHR dataset to evaluate achievement of 10 ADHD QMs. The dataset was obtained from DARTNet Institute and includes 4 million patients of 873 behavioral and primary care practices with at least 100 patients from 2010 to 2020. Patients 18-years or older with adult ADHD were included in this analysis. Results: White patients and Non-Hispanic/Latinx patients were more likely to achieve these QMs than Non-White patients and Hispanic/Latinx patients, respectively. Differences between groups concerning medication and monitoring demonstrate a disparity for Non-White and Hispanic/ Latinx populations. Conclusions: Using QMs in EHR data can help identify gaps in ADHD research. There is a need to continue investigating disparities of quality adult ADHD care. "(J. of Att. Dis. 2024; 28(5) 923-934)"
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1440936
Database: ERIC