Racial/Ethnic Disparities in Potentially Preventable Readmissions
The Case of Diabetes
Datos Bibliográficos
Objectives. Considerable differences in prevalence of diabetes and management of the disease exist among racial/ethnic groups. We examined the relationship between race/ethnicity and hospital readmissions for diabetes-related conditions. Methods. Nonmaternal adult patients with Medicare, Medicaid, or private insurance coverage hospitalized for diabetes-related conditions in 5 states were identified from the 1999 State Inpatient Databases of the Healthcare Cost and Utilization Project. Racial/ethnic differences in the likelihood of readmission were estimated by logistic regression with adjustment for patient demographic, clinical, and socioeconomic characteristics and hospital attributes. Results. The risk-adjusted likelihood of 180-day readmission was significantly lower for non-Hispanic Whites than for Hispanics across all 3 payers or for non-Hispanic Blacks among Medicare enrollees. Within each payer, Hispanics from low-income communities had the highest risk of readmission. Among Medicare beneficiaries, Blacks and Hispanics had higher percentages of readmission for acute complications and microvascular disease, while Whites had higher percentages of readmission for macrovascular conditions. Conclusions. Racial/ethnic disparities are more evident in 180-day than in 30-day readmission rates, and greatest among the Medicare population. Readmission diagnoses vary by race/ethnicity, with Blacks and Hispanics at higher risk for those complications more likely preventable with effective postdischarge care
Diabetes mellitus · Disease · Environmental health · Ethnic group · Health care · Health equity · Logistic regression · Medicaid · Population · Public health · Socioeconomic status · Demography · Diabetes Treatment and Management · Heart Failure Treatment and Management · Internal Medicine · Medicine · Renal Transplantation Outcomes and Treatments · Gerontology
What Is Ethically Informed Risk Management
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| Obras citantes distintas | 19 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 2007 - 2023 (17) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 17 |