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Racial and Ethnic Disparities in the Use of High-Volume Hospitals
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Racial and Ethnic Disparities in the Use of High-Volume Hospitals
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Journal Article
Racial and Ethnic Disparities in the Use of High-Volume Hospitals
2009
Overview
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.
Publisher
Excellus Health Plan, Inc,SAGE Publications,Sage Publications, Inc,SAGE PUBLICATIONS, INC,SAGE Publishing
Subject
/ Analysis
/ Cancer
/ Continental Population Groups - statistics & numerical data
/ Ethnic Groups - statistics & numerical data
/ Female
/ Healthcare Disparities - statistics & numerical data
/ Hospitals - statistics & numerical data
/ Humans
/ Male
/ Medicare
/ Patients
/ Practice
/ Quality Indicators, Health Care - statistics & numerical data
/ Services
/ Studies
/ Surgery
