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The racial segregation of hospital care revisited

Medicare discharge patterns and their implications

Bibliographic Data

ID11021995
AuthorsD B Smith, Daisy Smith (0000-0001-5829-9090, Temple University, corresponding author)
Year1998
Volume88
Issue3
Pages461-463
Publication date1998-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.88.3.461
PMID9518984
OpenAlexW2024969969
LanguageEN
Citations received13
References cited7

OBJECTIVES: This paper measures current patterns of hospital segregation among Medicare beneficiaries. METHODS: Data from the fiscal year 1993 Medicare Provider Analysis and Review (MEDPAR) file, the index of dissimilarity, and a linear regression model are used to test the effects of standard metropolitan area characteristics on hospital segregation. RESULTS: The overall hospital segregation index was 0.529, ranging by state from 0.154 to 0.746. Hospital segregation in 126 standard metropolitan areas was positively related to population size, hospital density, and residential segregation and negatively related to income inequities and location in the South. CONCLUSIONS: Racial segregation remains high and may produce both reporting biases and unequal effects of public policy

Current Population Survey · Demographic economics · Economics · Environmental health · Geography · Hospital discharge · Index (typography) · Metropolitan area · Population · Sociology · Test (biology) · Demography · Geriatric Care and Nursing Homes · Healthcare Policy and Management · Medicine · Urban, Neighborhood, and Segregation Studies

  • Problem of the Century

    R M Silverman•Contemporary Sociology A Journal…•2002

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    Vickie L Shavers•CancerSpectrum Knowledge…•2002

  • Residential Segregation and Disparities in Health Care Services Utilization

    Open Access•Darrell J Gaskin, Gniesha Y Dinwiddie et al.•Medical Care Research and Review•2012

  • The Color of Hospitalization Over the Adult Life Course

    Kenneth F Ferraro, Roland J Thorpe et al.•The Journals of Gerontology…•2006

  • Alternative Approaches to Characterizing Disparate Care by Race, Ethnicity, and Insurance Between Hospitals

    Open Access•Alina Kung, Yingtong Chen et al.•International Journal of…•2025

  • Segregated Patterns of Hospital Care Delivery and Health Outcomes

    Open Access•Sunny C Lin, Gmerice Hammond et al.•JAMA Health Forum•2023

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    Megdalynn Fisher, M Mustaine et al.•Journal of Aging & Social Policy•2026

  • African American Digital Practices

    Roderick Graham, Roderick S Graham et al.•Sociological Focus•2017

  • Cross-State Differences in the Processes Generating Black–White Disparities in Neonatal Mortality

    Open Access•Benjamin Sosnaud•Demography•2021

  • Racial Disparities in Changing to a High-volume Urologist Among Men With Localized Prostate Cancer

    Craig Evan Pollack, Justin E Bekelman et al.•Medical Care•2011

  • Insurance Status of Patients Admitted to Specialty Cardiac and Competing General Hospitals

    Peter Cram, Hoangmai H Pham et al.•Medical Care•2008

  • Ethnic/Racial Disparities in Hospital Procedure Volume for Lung Resection for Lung Cancer

    Charles J Neighbors, Meghan L Rogers et al.•Medical Care•2007

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    Open Access•Hope Landrine, Elizabeth A Klonoff•Journal of Health Psychology•2000

  • Effects of Race and Income on Mortality and Use of Services among Medicare Beneficiaries

    Marian E Gornick, Paul W Eggers et al.•New England Journal of Medicine•1996

  • Desegregation of Hospitals and Medical Societies in North Carolina

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  • American Apartheid

    D S Massey, Nancy A Denton•Inequality in the 21st Century•2018

  • Segregation and Discrimination in Medical Care in the United States

    Paul B Cornely•American Journal of Public Health…•1956

Unique citing works13
Citations per year0,5
Citation span2000 - 2026 (27)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 12

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