Racial and Ethnic Disparities in the Use of High-Volume Hospitals

Autor: Bradford H. Gray, Mark Schlesinger, Shannon Mitchell Siegfried, Emily Horowitz
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 46 (2009)
Druh dokumentu: article
ISSN: 0046-9580
DOI: 10.5034/inquiryjrnl_46.03.322
Popis: Differences in the source of care could contribute to racial and ethnic disparities in health status. This study looks at a major metropolitan area and examines racial and ethnic differences in the use of high-volume hospitals for 17 services for which there is a documented positive volume-outcome relationship. Focusing on the hospitalizations of New York City area residents in the periods 1995-1996 and 2001–2002, we found, after controlling for socioeconomic characteristics, insurance coverage, proximity of residence to a high-volume hospital, and paths to hospitalization, that minority patients were significantly less likely than whites to be treated at high-volume hospitals for most volume-sensitive services. The largest disparities were between blacks and whites for cancer surgeries and cardiovascular procedures.
Databáze: Directory of Open Access Journals