Do hospitals provide lower-quality quality care to minorities than to whites?

被引:57
作者
Gaskin, Darrell J. [1 ]
Spencer, Christine S. [2 ]
Richard, Patrick
Anderson, Gerard F. [3 ]
Powe, Neil R. [4 ]
LaVeist, Thomas A. [5 ]
机构
[1] Univ Maryland, African Amer Studies Dept, College Pk, MD 20742 USA
[2] Univ Baltimore, Sch Publ Affairs, Baltimore, MD 21201 USA
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA
[4] Johns Hopkins Med Inst, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD 21205 USA
[5] Johns Hopkins Bloomberg Sch, Baltimore, MD USA
关键词
D O I
10.1377/hlthaff.27.2.518
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
Using three years of state inpatient discharge data from thirteen states, we computed, for each hospital, race/ethnicity-specific quality measures using the Agency for Healthcare Research and Quality inpatient quality indicators and patient safety indicators. We found that risk-adjusted quality indicators for blacks, Hispanics, and Asians were not statistically worse than corresponding quality indicators for whites in the same hospital. We conclude that when whites and minorities are admitted to the hospital for the same reason or receive the same hospital procedure, they receive the same quality of care. Only a few hospitals provide lower quality of care to minorities than to whites.
引用
收藏
页码:518 / 527
页数:10
相关论文
共 28 条
[1]  
Agency for Healthcare Research and Quality, 2003, GUID PAT SAF IND
[2]  
Agency for Healthcare Research and Quality (AHRQ), 2002, GUID INP QUAL IND QU
[3]  
Andrews R M, 2000, Ethn Dis, V10, P384
[4]  
[Anonymous], 2003, Unequal treatment: Confronting racial and ethnic disparities in health care
[5]   Primary care physicians who treat blacks and whites [J].
Bach, PB ;
Pham, HH ;
Schrag, D ;
Tate, RC ;
Hargraves, JL .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (06) :575-584
[6]  
Bach Peter B, 2005, Ethn Dis, V15, pS31
[7]  
Baicker K, 2004, HLTH AFFAIRS, V23
[8]   Hospital-level racial disparities in acute myocardial infarction treatment and outcomes [J].
Barnato, AE ;
Lucas, FL ;
Staiger, S ;
Wennberg, DE ;
Chandra, A .
MEDICAL CARE, 2005, 43 (04) :308-319
[9]   ACCESS TO HOSPITALS WITH HIGH-TECHNOLOGY CARDIAC SERVICES - HOW IS RACE IMPORTANT [J].
BLUSTEIN, J ;
WEITZMAN, BC .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1995, 85 (03) :345-351
[10]   Racial and ethnic differences in time to acute reperfusion therapy for patients hospitalized with myocardial infarction [J].
Bradley, EH ;
Herrin, J ;
Wang, YF ;
McNamara, RL ;
Webster, TR ;
Magid, DJ ;
Blaney, M ;
Peterson, ED ;
Canto, JG ;
Pollack, CV ;
Krumholz, HM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (13) :1563-1572