Navigation Links
Minorities, Uninsured Less Likely to Receive Care at High-Volume Hospitals

Compared to white patients, black, Asian and Hispanic patients and those who are uninsured are less likely to undergo complex surgery at high-volume hospitals, which have been associated with better outcomes // , according to a study in the October 25 issue of JAMA.

Efforts to improve the quality of surgical care in the United States have led many organizations to advocate the use of high-volume hospitals for certain procedures, since a number of studies have reported of a direct volume-outcome relationship for certain procedures, with patients at high-volume hospitals consistently having better outcomes. It appears there are important differences in the racial and socioeconomic status of patients who receive care at high- and low-volume hospitals, according to background information in the article. These differences may affect the ability to access or receive care at a high-volume hospital.

Jerome H. Liu, M.D., M.S.H.S., of the David Geffen School of Medicine at the University of California-Los Angeles, and colleagues conducted a study to determine whether the use of high-volume hospitals varies by race/ethnicity or insurance status in a broad population of patients undergoing complex surgical care. The researchers examined patient characteristics and use of high-volume hospitals across 10 hospital-based procedures with known volume-outcome relationships among Californians during a 5-year period (2000-2004), collecting data from California’s Office of Statewide Health Planning and Development patient discharge database.

The procedures included elective abdominal aortic aneurysm repair, coronary artery bypass grafting, carotid endarterectomy, esophageal cancer resection, hip fracture repair, lung cancer resection, cardiac valve replacement, coronary angioplasty, pancreatic cancer resection, and total knee replacement.

According to this database, a total of 719,608 patients received 1 of the 10 operations. The research ers found that “in general, blacks, Asians, Hispanics, patients with Medicaid, and uninsured patients were less likely to go to high-volume hospitals for complex surgical procedures but more likely to go to low-volume hospitals, when compared with whites and patients with Medicare. Furthermore, patients with private insurance were significantly more likely to go to high-volume hospitals for 3 of the surgical procedures.”

For all 10 operations, black patients were significantly less likely to receive care at high-volume hospitals in 6 of the operations, Asians less likely in 5, and Hispanics less likely in 9.

Medicaid patients were significantly less likely than Medicare patients to receive care at high-volume hospitals for 7 of the operations, while uninsured patients were less likely to be treated at high-volume hospitals for 9.

“ … our study demonstrates robust findings in a large (12 percent of the U.S. population), ethnically diverse population that includes all patients undergoing the selected procedures without restrictions based on demographics, insurance, or sampling. While there is significant interest among health care policy experts in improving quality by directing patients to high-volume hospitals, policy development should include explicit efforts to identify the patient and system factors required to reduce current inequities in the receipt of care at such hospitals,” the authors conclude.

Source-NewswiseSRM
'"/>




Related medicine news :

1. Uninsured People Turn To Free Clinics.
2. San Francisco Mayor Proposes An Alternate Plan For The Uninsured City Residents
3. Mexi-Plan by Health Net, Expected To Be a Boon for Uninsured Latinos
4. Lack Of Insurance Means Worse Care For Uninsured
5. AMA Supports Tax Penalty for Uninsured Americans
6. Study Finds ER Not Overburdened By Uninsured & Immigrants
7. Uninsured Often Receive Less Medical Care
8. Bush Signs Bill for Cancer Screening Program for Low-Income, Uninsured Women
9. Number of Uninsured in North Carolina on the Rise
10. Smokers to Be Taxed to Fund Healthcare for Uninsured
11. Likely reason which makes analgesics work against Alzheimers
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:8/23/2017)... ... August 23, 2017 , ... Silicon Valley Hair Institute, a leading ... archive organized month-by-month. The new rotation of archived blog posts can provide a wide ... information about hair transplantation can review details online and then reach out for a ...
(Date:8/23/2017)... ... August 23, 2017 , ... ... American Academy of Orthopaedic Surgeons , points out that therapeutic modalities (physical therapy) ... or injury. According to the report, a wider scope of physical therapy options ...
(Date:8/22/2017)... , ... August 22, 2017 , ... The Women’s Choice ... awarded Zyclear Migraine Relief with the 2017 Women’s Choice Award. The identification by women ... that 3 out of 4 migraine sufferers are women. In a survey taken by ...
(Date:8/22/2017)... ... August 22, 2017 , ... ... to announce the addition of Zack Tisch as the firm’s new Consulting Services ... healthcare IT consulting firm’s national accounts, from assisting clients with initial vendor selection ...
(Date:8/22/2017)... (PRWEB) , ... August 22, 2017 , ... Nurses at ... acres at picturesque Babcock Cove, recently received training and certification in Closed Pulse ... which has a prestigious five-star rating from the Centers for Medicare and Medicaid Services, ...
Breaking Medicine News(10 mins):
(Date:8/23/2017)... , Aug. 23, 2017 DarioHealth Corp. ... with mobile health and big data solutions, announced ... placement offerings with domestic and non-U.S. investors for ... stock and shares of the Company,s newly designated ... placement offerings. Current shareholders accounted for 58% of ...
(Date:8/17/2017)... MJAC2017 , the premier cannabis event devoted to retail ... leading lineup. MJAC2017 is proud to ... in the development of pharmaceutical and consumer products, will be ... Green Organic Dutchman are gold sponsors for the event, joined ... ...
(Date:8/15/2017)...   Mostyn Law and Gulf Coast Regional Blood Center ... . The Mostyn Law family has had 3 members ... why Mostyn Law is partnering with Gulf Coast Regional ... appreciation. Blood supplies are running low. Gulf Coast Regional ... needs in August. That is why the blood center reached out ...
Breaking Medicine Technology: