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

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 r...

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Bibliographic Details
Published in:Inquiry (Chicago) 2009-09, Vol.46 (3), p.322-338
Main Authors: Gray, Bradford H., Schlesinger, Mark, Siegfried, Shannon Mitchell, Horowitz, Emily
Format: Article
Language:English
Subjects:
Aged
Analysis
Cancer surgery
Continental Population Groups - statistics & numerical data
Cultural differences
Demographic aspects
Ethnic groups
Ethnic Groups - statistics & numerical data
Female
Health care disparities
Health care industry
Health insurance
Health Services Research
Healthcare Disparities - statistics & numerical data
Hispanics
Hospital admissions
Hospitals
Hospitals - statistics & numerical data
Humans
Male
Medical care
Medical service
Medicare
Metropolitan areas
Middle Aged
Minorities
Mortality
New York City
New York, New York
Pediatrics
Physicians
Practice
Quality Indicators, Health Care - statistics & numerical data
Quality of care
Racial differences
Services
Studies
Surgical procedures
Surgical specialties
United States
White people
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Summary: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.
ISSN:0046-9580
1945-7243
DOI:10.5034/inquiryjrnl_46.03.322