Racial differences in hospital use after acute myocardial infarction: does residential segregation play a role?

Mary Vaughan Sarrazin; Mary Campbell; Gary E Rosenthal

doi:10.1377/hlthaff.28.2.w368

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Racial differences in hospital use after acute myocardial infarction: does residential segregation play a role?

Journal article

Open access

Peer reviewed

Racial differences in hospital use after acute myocardial infarction: does residential segregation play a role?

Mary Vaughan Sarrazin, Mary Campbell and Gary E Rosenthal

Health affairs (Project Hope), Vol.28(2), pp.w368-w378

03/2009

DOI: 10.1377/hlthaff.28.2.w368

PMCID: PMC4182438

PMID: 19258343

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http://doi.org/10.1377/hlthaff.28.2.w368View

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Abstract

This study compares the likelihood of admission to high-mortality hospitals for black and white Medicare patients in 118 health care markets, and whether admission patterns vary if residential racial segregation is greater in the area. Risk of admission to high-mortality hospitals was 35 percent higher for blacks than for whites in markets with high residential segregation. Moreover, blacks were more likely than whites to be admitted to hospitals with high mortality, even in analyses limited to patients who lived closest to lower-mortality hospitals. Eliminating health care disparities may require policies that address social factors leading to segregation.

Ethnic Groups - statistics & numerical data

Health Status Disparities

Humans

Risk Factors

European Continental Ancestry Group - statistics & numerical data

Male

Health Knowledge, Attitudes, Practice

Hospital Mortality - ethnology

African Continental Ancestry Group - statistics & numerical data

Hospital Mortality - trends

Myocardial Infarction

Female

Patient Admission - statistics & numerical data

Residence Characteristics - classification

Details

Title: Subtitle: Racial differences in hospital use after acute myocardial infarction: does residential segregation play a role?
Creators: Mary Vaughan Sarrazin - Iowa City Veterans Affairs Medical Center, Iowa, USA. mary-vaughan-sarrazin@uiowa.edu
Mary Campbell
Gary E Rosenthal
Resource Type: Journal article
Publication Details: Health affairs (Project Hope), Vol.28(2), pp.w368-w378
DOI: 10.1377/hlthaff.28.2.w368
PMID: 19258343
PMCID: PMC4182438
NLM abbreviation: Health Aff (Millwood)
ISSN: 0278-2715
eISSN: 1544-5208
Publisher: United States
Grant note: R03 AG027286 / NIA NIH HHS
Language: English
Date published: 03/2009
Academic Unit: Health Management and Policy; General Internal Medicine; Internal Medicine
Record Identifier: 9984063116502771

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