Racial differences in access to high-quality cardiac surgeons

Dana B. Mukamel · David Leo Weimer

98 citations0/0 files storedAmerican Journal of Public Health

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Health disparities and outcomes Healthcare Policy and Management Diversity and Career in Medicine

Abstract

OBJECTIVES: Racial differences in access to cardiac artery bypass graft (CABG) surgery are well documented. This study extends the literature by examining racial differences in access to high-quality cardiac surgeons. METHODS: The analyses included 11,296 CABG surgeries in New York State in 1996. Regression techniques were used to identify significant associations between a patient's race, health maintenance organization (HMO) enrollment, and the quality of the surgeon performing the surgery, measured by the surgeon's risk-adjusted mortality rate (RAMR). RESULTS: Non-Whites were more likely than Whites to have access to surgeons of higher RAMR, by 11.7% among HMO enrollees (1-tailed P < .1) and by 5.4% among fee-for-service enrollees (1-tailed P < .05). CONCLUSIONS: Even when racial minorities do gain access to CABG services, they are more likely that non-Whites to receive care from lower-quality providers.

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References

1997The Effects of Poverty on Children 1998Health Insurance and Access to Primary Care for Children 1996Children's Access to Primary Care: Differences by Race, Income, and Insurance Status 1997The Medical Expenditure Panel Survey: a national health information resource.1996Race/ethnicity, the social environment, and health 1986Blacks in the coronary artery surgery study (CASS): race and clinical decision making.1991Interracial Access to Selected Cardiac Procedures for Patients Hospitalized with Coronary Artery Disease in New York State 1996The effects of poverty, race, and family structure on US children's health: data from the NHIS, 1978 through 1980 and 1989 through 1991.

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2002Frequency and Scope of Mental Health Service Delivery to African Americans in Primary Care 2010Returns to physician human capital: Evidence from patients randomized to physician teams 2004Explaining disparities in access to high-quality cardiac surgeons 2007Examining racial and ethnic disparities in site of usual source of care.2005Racial Disparity in Surgical Complications in New York State

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