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… 
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128 Citations
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128 Citations

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TLDR
It is demonstrated that race differences in utilization of CA tend to occur during the process of determining the course of treatment, and African American patients are not less likely than white patients to follow through with the procedure.
Racial variations in processes of care for patients with community-acquired pneumonia
TLDR
Black patients had a trend towards decreased 30-day mortality and were less likely to receive optimal care, which is consistent with other studies that suggest better risk-adjusted survival among blacks than among whites.
Variation in pediatric intensive care therapies and outcomes by race, gender, and insurance status*
  • Adriana M Lopez, J. Tilford, D. Fiser
  • Medicine
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2006
TLDR
Risk-adjusted mortality and resource use for critically ill children did not differ according to race, gender, or insurance status and policies to expand health insurance to children appear more likely to affect physiologic derangement on admission rather than technical quality of care in the pediatric intensive care unit setting.
Quality of care by race and gender for congestive heart failure and pneumonia.
TLDR
Consistent racial differences in quality of care persist in basic hospital services for two common medical conditions and Physicians, nurses, and policy makers should strive to eliminate these differences.
Health care for black and poor hospitalized Medicare patients.
TLDR
Quality of hospital care for insured Medicare patients in influenced both by the patient's race and financial characteristics and by the hospital type in which the patient receives care.
Severity of illness and resource use differences among white and black hospitalized elderly.
TLDR
Investigating differences in illness severity, charges, and length of stay between white and black hospitalized elderly patients found blacks were admitted significantly more severely ill than whites and had significantly shorter hospitalizations and lower charges.
The effect of race and ethnicity on outcomes among patients in the intensive care unit: A comprehensive study involving socioeconomic status and resuscitation preferences*
TLDR
Hospital mortality and intensive care unit length of stay did not differ by race or ethnicity among this diverse cohort of critically ill patients after adjustment for severity of illness, resuscitation status, socioeconomic status, insurance status, and admission type.
Socioeconomic status and risk for substandard medical care.
TLDR
It is found that the uninsured are at greater risk for suffering medical injury due to substandard medical care, and race, gender, and income were not independently associated with risk for medical injury or substandard care in multivariate analyses.
THE PATIENT-PHYSICIAN RELATIONSHIP Race , Gender , and Partnership in the Patient-Physician Relationship
TLDR
These studies have found that racial and ethnic differences between physicians and patients, and the quality of interpersonal health care to patients’ and physicians’ ethnicity or to ethnic concordance or discordance in the patientphysician relationship, are found to be significant.
Variation in utilization of cardiac procedures in the Department of Veterans Affairs health care system: effect of race.
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