Rathore, a third year medical student at Yale and the study's second author said, "Continued race and sex disparities suggest that the solution may rely more on health-system related factors. The lack of change suggests that whatever process accounts for these differences is an inherent part of the health care system that isn't remedied by simply increasing awareness of these differences."
Rathore said that while some may suggest bias, there may be other explanations, such as beginning to examine differences in how these patients receive care, including possible differences in the quality of hospitals and physicians that treat these populations.
Other study authors included Nannette Wenger of Emory University School of Medicine, Paul D. Frederick of the Ovation Research Group, Jerome L. Abramson and Susmita Malik of Emory, Ajay Manhapra of Hackley Hospital, Spring Lake, Michigan and Hale Barron of Genentech, Inc., in South San Francisco, California.
Harlan Krumholz may be contacted at 203-737-1717 or harlan.krumholz@yale.edu.
Citation: NEJM August 18, 2005; Volume 353, No. 7.
Contact: Karen N. Peart
karen.peart@yale.edu
203-432-1326
Yale University
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