Navigation Links
Study finds segregation decreases access to surgical care for minorities
Date:6/11/2009

CHICAGO (June 11, 2009) New research published in the June issue of the Journal of the American College of Surgeons reveals that in counties with the highest levels of segregation, an increase in the African-American or Hispanic population was associated with a decrease in the availability and use of surgical services and an increase in the number of emergency room visits. This research supports prior studies that have shown that minority groups in the United States have comparatively poorer access to a range of health care services, often resulting in late diagnosis of illness and delayed treatment.

African Americans are the most segregated racial group in the U.S. Studies have shown that segregated African-American communities have higher infant mortality rates, decreased access to appropriate cancer care and worse outcomes from organ transplantation than other racial groups experience. Both African Americans and Hispanics living in counties with a higher proportion of African-American population report that they experience difficulty obtaining health care as compared with African Americans living in counties with a smaller African-American population. Through the National Institutes of Health and Healthy People 2010, the federal government has set forth goals to explore, account for and minimize these disparities. However, despite these goals, improving access to health care continues to pose a considerable challenge to health policy makers in their attempts to establish equity in the provision of care.

"In the most segregated counties, we found that an increase as small as one percent in the African-American or Hispanic population was associated with a significant decrease in the availability and utilization of surgical services, a difference that was not present in counties with the least segregation," said Awori J. Hayanga, MD, MPH, Administrative Chief Resident, Department of General Surgery, University of Michigan Health System. "We hope this report will guide budgetary decisions and incentives by health policy makers in their bid to close the racial health disparity gap and increase access to surgical health care across racial lines, particularly in the most segregated areas."

A cross-sectional analysis was performed on data from the 2004 U.S. Department of Health and Human Services Area Resource File, a nationwide record of health care, economic and demographic data. Each of the 3,219 U.S. counties was categorized into one of three levels most, moderately or least segregated using the Isolation Index, a measure of the probability that a member of one minority group will come into contact with members of the same racial group. Multivariable linear regression analysis was performed to examine the association between access to surgical services and proportion of minority population with varying levels of segregation, adjusting for socioeconomic and health characteristics.

Results showed that in the most segregated counties, each percentage point increase in Hispanic or African-American population was associated with a statistically significant decrease in outpatient surgery volume (p< 0.0001), ambulatory surgical facilities (p< 0.0001) and number of general surgeons (p< 0.0001). In the least segregated counties, small population increases were not associated with significant decreases in surgical resources. A significant increase in the volume of emergency medical visits was associated with increasing proportions of African-American and Hispanic populations within the most segregated counties (p< 0.0001).


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Kessler Foundation Research Center Study Provides Insight into One of the Most Challenging Symptoms Following a Traumatic Brain Injury
2. Kessler Foundation Research Center Study Provides Insight into One of the Most Challenging Symptoms Following a Traumatic Brain Injury
3. PAREXEL Enhances Study Start-Up and Recruitment Capabilities With Appointment of Dr. Lars-Olof Eriksson, Formerly With Merck
4. Want to Learn How to Testify? New Home Study Course by Practicing Physician Teaches Medical Malpractice Defendants and Physicians How to be Effective in Court
5. Morning Sickness Drug Gets Green Light in Study
6. DaVita Study Demonstrates Clinical Application of Sysmex Reticulocyte Hemoglobin Equivalent (RET-He) Parameter
7. New Study Shows Coaching to Patient Activation Levels Improves Disease Management Outcomes
8. New Jefferson study may redefine how a chronic auto-immune disease is diagnosed
9. ASCO Research Foundation Grant Will Support Study of Peregrines Bavituximab in Lung Cancer
10. Published Study Shows VNUS ClosureFAST&#8482; System Significantly Superior to Laser for Varicose Vein Treatment
11. New Study Shows Coaching to Patient Activation Levels Improves Disease Management Outcomes
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... , ... October 13, 2017 , ... Ellevate Network, the ... business to advocate for action towards gender equality at their inaugural Summit in New ... the globe, and reached a social audience of over 3 million. To watch the ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at ... of the most popular and least understood books in the Holy Scriptures, Revelation. The ... that have baffled scholars for centuries. Many have tossed it off as mere rubbish, ...
(Date:10/13/2017)... VA (PRWEB) , ... October 13, 2017 , ... ... of DevOps and Agile Software Development, has been awarded a contract by the ... Blanket Purchase Agreement (BPA) aims to accelerate the enterprise use of Agile methodologies ...
(Date:10/13/2017)... ... ... “America On The Brink”: the Christian history of the United States and the ... published author, William Nowers. Captain Nowers and his wife, Millie, have six children, ... in the Navy. Following his career as a naval aviator and carrier pilot, ...
(Date:10/12/2017)... ... October 12, 2017 , ... CitiDent and San ... using cutting-edge Oventus O2Vent technology. As many as 18 million Americans are ... cessation in breathing. Oral appliances can offer significant relief to about 75 percent ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... Sept. 27, 2017  DarioHealth Corp. (NASDAQ: DRIO), a leading global digital ... its MyDario product is expected to appear on The Dr. Oz Show ... Oz Show airs in your area: http://www.doctoroz.com/page/where-watch-dr-oz-show ... The nine-time Emmy award-winning, The Dr. Oz Show kicked off ... The segment features ...
(Date:9/22/2017)... Sept. 22, 2017 AVACEN Medical (AVACEN) announced ... now successfully helping those with the widespread pain associated ... diagnosed Amanda in Essex, England ... my hair, experiencing no sleep at all, tremendous pain, ... I cannot recommend [the AVACEN 100] enough, how this ...
(Date:9/13/2017)... 13, 2017   OrthoAtlanta has been named the ... Host Committee (AFHC) for the 2018 College Football Playoff (CFP) ... at Mercedes-Benz Stadium in Atlanta, Georgia . ... "I,m In" campaign, participating in many activities leading up to, ... ...
Breaking Medicine Technology: