Study of the role of social factors in differences in access to care

The purpose of this project is a research study to document and explain differences by race and gender in clinically appropriate referrals for kidney transplantation. The results of this study will be disseminated in conjunction with results of a federally funded study on coronary heart disease documenting similar sociocultural barriers to access. Findings from the two studies will be used to stimulate the development of interventions to improve access to these health services for women and African-Americans. Further, kidney transplants (along with coronary artery by-pass grafts) represent an array of medical procedures where similar differences in use by race and gender have been documented. This array of procedures affects over 5 million Americans annually at a cost of $50 billion to the health care system. Therefore, improved understanding of potential barriers to access to kidney transplantation should provide insight and point towards interventions in other areas which could have a positive impact on the quality of life and cost of health care for a significant number of people.

Grant Details

Amount Awarded $1,379,859.00

Awarded on: 7/27/1995

Time frame: 9/1/1995 - 7/31/2000

Grant Number: 23625


Harvard Medical School

25 Shattuck Street
Boston, 02115-6092


Arnold M. Epstein
Project Director