Health care report cards may increase racial/ethnic disparities in bypass operations

d Utilization Project (HCUP-3), a data set that includes hospital discharge information nation-wide. Researchers only used data from the 12 states in HCUP-3 that reported patient race, which were California, Colorado, Connecticut, Florida, Iowa, Kansas, Massachusetts, Maryland, Missouri, New Jersey, South Carolina, and Wisconsin.

Werner and her colleagues compared hospital discharge data on 928,551 acute heart attack patients including 310,412 patients in New York. Blacks and Hispanics accounted for 13.7 percent of the New York patients and 10 percent of patients in the comparison states. New York released its first surgeon-specific CABG report card in December 1991. Researchers found that after the report card was released, the gap in CABG surgery in New York between whites versus blacks and Hispanics widened significantly.

Among the New York patients, blacks and Hispanics were less likely to receive CABG than white patients after the report card was released. Prior to the report card, CABG rates were 3.6 percent for whites, 2.9 percent for Hispanics and 0.9 percent for blacks. After the report card's release, even though CABG rates increased overall, the difference in CABG use between white vs. Hispanic patients and white vs. black patients increased (8 percent of white patients vs. 4.8 percent of Hispanic patients and 3 percent of black patients). In the comparison states, the disparity between the races in the same time frame was not statistically significant.

The researchers also note that despite the relatively lower use of CABG among racial and ethnic minorities after the report cards were released in New York, there was no increase in angioplasty procedures often a substitute procedure for CABG in these groups.

These results suggest that some surgeons responded to CABG report cards by excluding some patients from CABG surgery on the basis of race and ethnicity, Werner said. "It's possible that physicians believe that minority pa

Contact: Carole Bullock
American Heart Association

Page: 1 2 3

Related medicine news :

1. Mailman School of Public Health receives Manhattan Tobacco Cessation Center grant
2. Liverpool to lead 20M Department of Health initiative to develop medicines for children
3. 2005 Behavioral Sciences & Health Services Research Award
4. Statement on the findings of the Womens Health Study
5. Bone density returns when teens stop using Depo Provera, Group Health study finds
6. Mailman School of Public Health researchers develop infectious disease diagnostic tool
7. Health initiatives can help peace building in the Middle East
8. Study naming hospitals in top 5% for clinical quality released by HealthGrades
9. RelayHealth selected by Columbia University to link doctors and patients online
10. Health report-card fears make doctors forgo potential life-saving heart treatment
11. Healthy patients with abdominal lymph nodes seen on CT do not need follow-up imaging

Post Your Comments:

(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology:
Cached News: