Titre :
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Racial differences in access to high-quality cardiac surgeons. (2000)
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Auteurs :
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Dana-B MUKAMEL ;
Ananthram-S MURTHY ;
David-L WEIMER ;
Department of Community and Preventive Medicine. University of Rochester Medical Center. Rochester. NY. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 90, n° 11, 2000)
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Pagination :
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1774-1777
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Langues:
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Anglais
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Mots-clés :
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Etats Unis
;
Amérique
;
Epidémiologie
;
Homme
;
Race
;
Etat santé
;
Accès soins
;
Soins
;
Chirurgie
;
Greffe
;
Mortalité
;
Qualité
;
Pratique soins
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST H21R4R0x. Diffusion soumise à autorisation]. Objectives. Racialdifferences in access to cardiac artery bypass graft (CABG) surgery are well documented. This study extends the literature by examining racial differences in access to high-quality cardiac surgeons. Methods. The analysis included 11 296 CABG surgeries in New York State in 1996. Regression techniques were used to identify significant associations between a patient's race, health maintenance organization (HMO) enrollment, and the quality of the surgeon performing the surgery, measured by the surgeon's risk-adjusted mortality rate (RAMR). Results. Non-Whites were more likely than Whites to have access to surgeons of higher RAMR, by 11.7% among HMO enrollees (1-tailed P<. and by among fee-for-service enrollees p conclusions. even when racial minorities do gain access to cabg services they are more likely than non-whites receive care from lower-quality providers.>
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