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Relationship Between Patient Race and the Intensity of Hospital Services

Datos Bibliográficos

ID9103571
AutoresJohn Yergan (University of Washington, autor de correspondencia), Ann Barry Flood (0000-0002-4035-3084, University of Illinois Urbana-Champaign), James P Logerfo (0000-0003-2895-0721, University of Washington, autor de correspondencia), Paula Diehr (University of Washington)
Año1987
Volumen25
Número7
Páginas592-603
Fecha de publicación1987-07-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198707000-00003
PMID3695664
OpenAlexW2075401420
IdiomaEN
Citas recibidas18
Referencias citadas7

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

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Obras citantes distintas18
Citas por año0,47
Intervalo de citas1988 - 2024 (37)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 16
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