Relationship Between Patient Race and the Intensity of Hospital Services
@article{Yergan1987RelationshipBP, title={Relationship Between Patient Race and the Intensity of Hospital Services}, author={J Yergan and Ann Barry Flood and James P LoGerfo and Paula K. Diehr}, journal={Medical Care}, year={1987}, volume={25}, pages={592-603} }
This study reviews evidence on whether services in United States hospitals vary by racial groupings of patients. The focus is on both equity and quality of hospital services. Patients with the diagnosis of pneumonia were studied at 16 randomly selected hospitals. The services and outcomes studied include five measures of the intensity of diagnostic and therapeutic services received by patients, and death rates during hospitalization. Multiple regression was used to control for patient health…
128 Citations
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References
SHOWING 1-10 OF 11 REFERENCES
The Relationship Between Intensity and Duration of Medical Services and Outcomes for Hospitalized Patients
- Medicine, Political ScienceMedical care
- 1979
Using a composite measure of the intensity of specific medical services reflecting the mix, amount, and relative costliness of the services provided, out data clearly supported the expectation that hospitals providing higher than expected levels of specific services to patients also had better outcomes than expected.
Patient Race and Physician Performances: Quality of Medical Care, Hospital Admissions and Hospital Stays
- Medicine, Political ScienceMedical care
- 1979
It is found that Asian-Americans receive medical care equal to that of the white Americans (once they had access to the health care systems), at least in the state of Hawaii.
Relationship between Demographic Characteristics, Patient's Chief Complaint, and Medical Care Destination in an Emergency Room
- MedicineMedical care
- 1970
Ward patients were less likely to be admitted to the hospital than private patients, and, in particular, were admitted in lower proportion than they represented in the emergency room population for several chief complaint groups, which has important implications for medical care planning within and without the medical center.
Use of ambulatory care services in three provider plans: interactions between patient characteristics and plans.
- MedicineAmerican journal of public health
- 1984
The use of services in the HMO was least affected by enrollees' characteristics and use was most sensitive to patient characteristics in BC and in some respects the IPA was more like the H MO and in other respects morelike the BC/BS plan.
Health Status as a Measure of Need for Medical Care: A Critique
- Medicine, Political ScienceMedical care
- 1981
Although the Use-Disability ratio may be a useful instrument to measure access equity, it appears less suited for the purpose stated above and Elements of both the Symptoms-Response Ratio and the Episode of Illness Analysis appear better suited for this purpose.
Does race affect hospital use?
- MedicineAmerican journal of public health
- 1985
The elimination of race as an explainer of hospital use suggests progress in assuring equal access to hospitals, but differences in poverty, mortality, and some specifics of use remain.
Relation between the race and economic status of patients and who performs their surgery.
- MedicineThe New England journal of medicine
- 1977
Black emergency patients were more likely than white emergency patients to be cared for by surgeons in training and their likelihood of being treated by a surgeon in training rather than by a staff surgeon remained unchanged over the past two decades.
Measuring racial bias in inpatient treatment.
- Psychology, MedicineThe American journal of psychiatry
- 1980
There was racial bias in the treatment of schizophrenic inpatients according to subtle stereotyping and the staff's greater familiarity with white patients, and the authors suggest increased recruitment of black professionals and the inclusion of blacks in each treatment team.
Equity of Access to Medical Care: A Conceptual and Empirical Overview
- Political ScienceMedical care
- 1981
The major ethical considerations in the conceptualization and measurement of the equity of access concept are summarized, national and community data on the most current profile of access in the United States are presented, and the implications of these conceptual and empirical issues are discussed.
Simpson's Paradox in Real Life
- Philosophy
- 1982
(1982). Simpson's Paradox in Real Life. The American Statistician: Vol. 36, No. 1, pp. 46-48.