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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Do hospitals provide lower-quality care to minorities than to whites?

TitleDo hospitals provide lower-quality care to minorities than to whites?
Publication TypeJournal Article
Year of Publication2008
AuthorsGaskin, DJ, Spencer, CS, Richard, P, Anderson, GF, Powe, NR, Laveist, TA
JournalHealth affairs (Project Hope)
Volume27
Pagination518-527
Date PublishedMar-Apr
ISBN Number1544-5208; 0278-2715
Accession Number18332510
KeywordsAfrican Continental Ancestry Group, Asian Americans, European Continental Ancestry Group, Healthcare Disparities/statistics & numerical data, Hispanic Americans, Hospitals/standards, Humans, Minority Groups/statistics & numerical data, Quality Indicators, Health Care, Quality of Health Care, United States, United States Agency for Healthcare Research and Quality
Abstract

Using three years of state inpatient discharge data from thirteen states, we computed, for each hospital, race/ethnicity-specific quality measures using the Agency for Healthcare Research and Quality inpatient quality indicators and patient safety indicators. We found that risk-adjusted quality indicators for blacks, Hispanics, and Asians were not statistically worse than corresponding quality indicators for whites in the same hospital. We conclude that when whites and minorities are admitted to the hospital for the same reason or receive the same hospital procedure, they receive the same quality of care. Only a few hospitals provide lower quality of care to minorities than to whites.