Relationship Between Patient Race and the Intensity of Hospital Services
Bibliographic Data
| ID | 9103571 |
|---|---|
| Authors | John Yergan (University of Washington, corresponding author), Ann Barry Flood (0000-0002-4035-3084, University of Illinois Urbana-Champaign), James P Logerfo (0000-0003-2895-0721, University of Washington, corresponding author), Paula Diehr (University of Washington) |
| Year | 1987 |
| Volume | 25 |
| Issue | 7 |
| Pages | 592-603 |
| Publication date | 1987-07-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198707000-00003 |
| PMID | 3695664 |
| OpenAlex | W2075401420 |
| Language | EN |
| Citations received | 18 |
| References cited | 7 |
This study reviews evidence on whether services in United States hospitals vary by racial groupings of patients. The focus is on both equity and quality of hospital services. Patients with the diagnosis of pneumonia were studied at 16 randomly selected hospitals. The services and outcomes studied include five measures of the intensity of diagnostic and therapeutic services received by patients, and death rates during hospitalization. Multiple regression was used to control for patient health status at the time of entry into the hospital. Results are presented both before and after controlling for the effects of differences in the services offered between hospitals and patient payment sources. Our findings suggest that nonwhite pneumonia patients received fewer hospital services than expected on the basis of their health characteristics, and that their hospital lengths of stay were longer than expected. These findings were apparent when the hospitals were examined in aggregate and within individual institutions. No consistent differences in death rates were apparent. Possible explanations for these results are discussed. From our data, we conclude that patient race remains a potentially significant characteristic in determining the intensity of care provided to patients in hospitals, which is not explained by differences among racial groups in health status, source of payment, or site of hospitalization
Family medicine · Health care · Health services research · Payment · Pneumonia · Public health · Race (biology) · Emergency Medicine · Finance · Healthcare Policy and Management · Internal Medicine · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes
Relationship Between Patient Source of Payment and the Intensity of Hospital Services
Through the Lenses of Organizational Sociology
Racial and Ethnic Disparities in the Receipt of Cancer Treatment
Race, Gender, and Partnership in the Patient-Physician Relationship
Classification of Race and Ethnicity
Racial disparity in mortality from tuberculosis in the US between states with and without a history of Jim-Crow laws
Racism, Sexism, and Social Class
Race
Racial discrimination and blood pressure
Defending diversity
Racial differences in the elderly's use of medical procedures and diagnostic tests
Race/Ethnic Disparities in Utilization of Lifesaving Technologies by Medicare Ischemic Heart Disease Beneficiaries
Quality of Care by Race and Gender for Congestive Heart Failure and Pneumonia
Treatment Differences Between Blacks and Whites with Colorectal Cancer
Mental Health Service Utilization by African Americans and Whites
On Addressing Racial and Ethnic Health Disparities
Social inequalities in health within countries
Psychiatric Contributions to Understanding Racism
Use of ambulatory care services in three provider plans
Does race affect hospital use
The Relationship Between Intensity and Duration of Medical Services and Outcomes for Hospitalized Patients
Equity of Access to Medical Care
Patient Race and Physician Performances
Relationship between Demographic Characteristics, Patientʼs Chief Complaint, and Medical Care Destination in an Emergency Room
Health Status as a Measure of Need for Medical Care
| Unique citing works | 18 |
|---|---|
| Citations per year | 0,47 |
| Citation span | 1988 - 2024 (37) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 16 |