Social determinants of health: modeling and targeting patient propensity to attend pain clinic appointments.

Abstract

Aim: We sought to investigate the impact of social determinants of health on pain clinic attendance. Materials & methods: Retrospective data werecollected from the Pain Center at Montefiore Medical Center from 2016 to 2020 and analyzed with multivariable logistic regression. Results: African-Americans were less likely to attend appointments compared with White patients (odds ratio [OR]: 0.73;95% CI: 0.70-0.77;p<0.001). Males had decreased attendance compared with females (OR: 0.89;95% CI: 0.87-0.92;p<0.001). Compared with commercial, those with Medicaid (OR: 0.69;95% CI: 0.66-0.72;p<0.001) and Medicare (OR: 0.76;95% CI: 0.73-0.80;p<0.001) insurance had decreased attendance. Conclusion: Significant disparities exist in pain clinic attendance based upon social determinants of health including race, genderand insurance type.