No Racial Disparities In Surgical Care Quality Observed After Coronary Artery Bypass Grafting In TRICARE Patients

被引:28
作者
Chaudhary, Muhammad Ali [1 ,2 ]
de Jager, Elzerie [1 ,2 ]
Bhulani, Nizar [1 ,2 ]
Kwon, Nicollette K. [1 ,2 ]
Haider, Adil H. [2 ,3 ,4 ]
Goralnick, Eric [2 ,5 ,6 ,7 ]
Koehlmoos, Tracey Perez [8 ,9 ]
Schoenfeld, Andrew J. [2 ,10 ]
机构
[1] Brigham & Womens Hosp, Ctr Surg & Publ Hlth, 75 Francis St, Boston, MA 02115 USA
[2] Harvard Med Sch, Boston, MA 02115 USA
[3] Aga Khan Univ, Med Coll, Karachi, Pakistan
[4] Brigham & Womens Hosp, Dispar & Emerging Trauma Syst, Ctr Surg & Publ Hlth, 75 Francis St, Boston, MA 02115 USA
[5] Brigham & Womens Hosp, Brigham Hlth Access Ctr, 75 Francis St, Boston, MA 02115 USA
[6] Brigham & Womens Hosp, Emergency Preparedness, 75 Francis St, Boston, MA 02115 USA
[7] Brigham & Womens Hosp, Dept Emergency Med, 75 Francis St, Boston, MA 02115 USA
[8] Uniformed Serv Univ Hlth Sci, Dept Prevent Med & Biostat, Bethesda, MD 20814 USA
[9] Uniformed Serv Univ Hlth Sci, Hlth Serv Res Program, Bethesda, MD 20814 USA
[10] Brigham & Womens Hosp, Dept Orthopaed Surg, 75 Francis St, Boston, MA 02115 USA
基金
美国国家卫生研究院;
关键词
HEALTH-CARE; OUTCOMES; SURGERY; INSURANCE; ACCESS; RACE;
D O I
10.1377/hlthaff.2019.00265
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
In the US, racial disparities in outcomes following coronary artery bypass grafting (CABG) are well documented. TRICARE insurance data represent a large population with universal insurance that allows for the robust assessment of the impact of such insurance on disparities in health care. This study examined racial differences in specific aspects of surgical care quality following CABG, using metrics endorsed by the National Quality Forum that included the prescription of beta-blockers and statins at discharge and thirty-day readmissions. There were no risk-adjusted differences in outcomes between African American and white patients insured through TRICARE. Our study provides a window into the potential impacts of universal insurance and an equal-access health care system on racial disparities in surgical care quality following CABG.
引用
收藏
页码:1307 / 1312
页数:6
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