| Titre : | Racial differences in access to high-quality cardiac surgeons. (2000) |
| Auteurs : | Dana-B MUKAMEL ; Ananthram-S MURTHY ; David-L WEIMER ; Department of Community and Preventive Medicine. University of Rochester Medical Center. Rochester. NY. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 90, n° 11, 2000) |
| Pagination : | 1774-1777 |
| Langues: | Anglais |
| Mots-clés : | Etats Unis ; Amérique ; Epidémiologie ; Homme ; Race ; Etat santé ; Accès soins ; Soins ; Chirurgie ; Greffe ; Mortalité ; Qualité ; Pratique soins ; Amérique du Nord |
| Résumé : | [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<. 1) and by 5.4% among fee-for-service enrollees (1-tailed P<. 05). Conclusions. Even when racial minorities do gain access to CABG services, they are more likely than non-Whites to receive care from lower-quality providers. |
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