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August 23, 2005American Journal of Public HealthOpen Access

Racial/Ethnic Disparities in Potentially Preventable Readmissions: The Case of Diabetes

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Why the study?

Does race/ethnicity affect the risk of 180-day hospital readmission among adult patients hospitalized for diabetes-related conditions?

Population

Nonmaternal adult patients with Medicare, Medicaid, or private insurance coverage hospitalized for…

Comparison

Hispanic or non-Hispanic Black race/ethnicity vs Non-Hispanic White race/ethnicity

Design

Cohort

Follow-up

180 days

Authors

HJHui JiangInner Mongolia Agricultural UniversityRARoxanne M AndrewsRAND CorporationDSDaniel StryerAgency for Healthcare Research and Quality

Discussion

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Member takes

Implication

May warrant targeted post-discharge support for minorities with diabetes; leaves open causal pathways and effective interventions.

Structured PICO

Does race/ethnicity affect the risk of 180-day hospital readmission among adult patients hospitalized for diabetes-related conditions?

P
Population
Nonmaternal adult patients with Medicare, Medicaid, or private insurance coverage hospitalized for diabetes-related conditions in 5 US states (from the 1999 State Inpatient Databases of the Healthcare Cost and Utilization Project).
I
Intervention
Hispanic or non-Hispanic Black race/ethnicity
C
Comparator
Non-Hispanic White race/ethnicity
O
Outcome
180-day hospital readmission for diabetes-related conditionshard clinical

Significant racial and ethnic disparities exist in 180-day readmission rates for diabetes, with minority populations at higher risk for preventable complications.

Cite This Study

Jiang et al. (2005) studied this question.

synapsesocial.com/papers/6a6fcfe4febe604dd708a820https://doi.org/10.2105/ajph.2004.044222
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ambulatory Medical Care for Non-Hispanic Whites, African-Americans, and Mexican-Americans With NIDDM in the U.S1997 · 58 citations
  2. 2Discharge Destination and Repeat Hospitalizations1997 · 69 citations
  3. 3Unequal treatment: confronting racial and ethnic disparities in health care2003 · 7,057 citations
  4. 4Comorbidity Measures for Use with Administrative Data1998 · 10,047 citations
  5. 5Mortality from Coronary Heart Disease in Subjects with Type 2 Diabetes and in Nondiabetic Subjects with and without Prior Myocardial Infarction1998 · 7,098 citations