Key result
Hospitals treating a high versus low volume of black patients had worse adjusted performance scores for acute myocardial infarction (89.0 vs 90.7; P=0.002) and pneumonia (76.9 vs 79.4; P<0.001).
Why the study?
Do hospitals that care for a disproportionately high volume of elderly black patients have worse performance on quality measures for acute myocardial infarction, congestive heart failure, and pneumonia?
Population
Elderly black and white patients treated at US hospitals (based on 2004 Medicare data)
Comparison
Hospitals with a high volume or high proportion… vs Hospitals with a low volume or low proportion of…
Design
Cross-sectional
Authors
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Hospitals caring for high volumes of black patients may warrant targeted quality support; leaves open whether hospital factors drive racial disparities in outcomes.
Observational
Yes
Do hospitals that care for a disproportionately high volume of elderly black patients have worse performance on quality measures for acute myocardial infarction, congestive heart failure, and pneumonia?
Absolute Event Rate: 89% vs 90.7%
p-value: p=0.002
Care for elderly black patients in the US is highly concentrated in a small percentage of hospitals, which exhibit marginally worse quality of care scores for conditions like acute myocardial infarction and pneumonia.
Jha et al. (2007) conducted an observational in Acute myocardial infarction, congestive heart failure, and pneumonia. Hospitals treating a high volume of black patients vs. Hospitals treating a low volume of black patients was evaluated on Performance summary scores for acute myocardial infarction (p=0.002). Hospitals treating a high versus low volume of black patients had worse adjusted performance scores for acute myocardial infarction (89.0 vs 90.7; P=0.002) and pneumonia (76.9 vs 79.4; P<0.001).
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