Factors Underlying Racial Disparities in Hospital Care of Congestive Heart Failure

Document Type

Article

Publication Date

2007

Publication Title

Ethnicity & Disease

Volume

17

Issue

2

First page number:

281

Last page number:

297

Abstract

OBJECTIVE: To examine relationships between race and five aspects of hospital care. METHODS: Cross-sectional data of 373,158 discharges with heart failure in the 1995-1997 National Inpatient Sample were used to measure severity, care-seeking patterns, processes, resource consumption, and outcomes. RESULTS: Compared to White patients, African American and Hispanic patients were more likely to seek care through the emergency department (ED) but less likely to receive clinical procedures or die in the hospital. Interactions of African American race with patient co-morbidity status, admission through the ED, and receipt of intensive services were associated with lower mortality as was interaction between admission to teaching hospitals and Hispanic race. CONCLUSIONS: Lack of access to ambulatory care among minority patients and hospital care via the safety net may contribute to racial discrepancies as a result of healthier patient selection among minority groups.

Keywords

Congestive heart failure; Health services accessibility; Hospitals – Emergency services; Minorities – Medical care

Disciplines

Cardiology | Cardiovascular Diseases | Emergency Medicine | Health Services Administration | Race and Ethnicity

Language

English

Permissions

Use Find in Your Library, contact the author, or interlibrary loan to garner a copy of the item. Publisher policy does not allow archiving the final published version. If a post-print (author's peer-reviewed manuscript) is allowed and available, or publisher policy changes, the item will be deposited.


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