What question did this study set out to answer?

To examine associations between Centers for Medicare & Medicaid Services hospital quality star ratings and community characteristics, including racial and ethnic composition, income, education, and geographic region.

September 23, 2020Journal of Hospital MedicineOpen Access

Relationship of Hospital Star Ratings to Race, Education, and Community Income

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Authors

BSBo ShiSoutheast University CKChristopher J. KingGeorgetown University SHSean Shenghsiu HuangGeorgetown University

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Implication

Retrospective cross-sectional study reveals lower hospital star ratings in lower-income and higher-minority communities, indicating a need to account for social factors in quality metrics.

Key Points

To examine associations between Centers for Medicare & Medicaid Services hospital quality star ratings and community characteristics, including racial and ethnic composition, income, education, and geographic region.
Conducted a retrospective, cross-sectional analysis using hospital star ratings and community sociodemographic data.
Evaluated associations using multivariable binary logistic regression and multinomial logistic regression models.
Hospitals located in communities with lower income (OR 0.67; 95% CI, 0.49-0.91), lower educational attainment (OR 0.66; 95% CI, 0.51-0.85), and higher minority shares (OR 0.52; 95% CI, 0.40-0.69) had significantly lower quality ratings.
Compared with hospitals in the Midwest, hospitals located in the Northeast (OR 0.37; 95% CI, 0.25-0.56), South (OR 0.68; 95% CI, 0.51-0.91), and West (OR 0.69; 95% CI, 0.49-0.97) had significantly lower odds of higher star ratings.

Cite This Study

Shi et al. (2020) studied this question.

synapsesocial.com/papers/6a6f166c2163a0a01bc36c82 https://doi.org/10.12788/jhm.3393

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Implication

Retrospective cross-sectional study reveals lower hospital star ratings in lower-income and higher-minority communities, indicating a need to account for social factors in quality metrics.

Relationship of Hospital Star Ratings to Race, Education, and Community Income

Discussion

Member takes

Implication

Key Points

Cite This Study

Relationship of Hospital Star Ratings to Race, Education, and Community Income

Discussion

Member takes

Implication

Key Points

Cite This Study

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Also Consider