Document Detail

Trends in racial disparities among the elderly for selected procedures.
MedLine Citation:
PMID:  18490701     Owner:  NLM     Status:  MEDLINE    
The authors examine trends over 1997-2001 in racial or ethnic disparities in the utilization of three costly, referral-sensitive procedures among the elderly-coronary artery bypass grafting (CABG), percutaneous transluminal coronary angioplasty (PTCA), and hip/joint replacement. Using a multivariate framework, they undertake a simultaneous examination of the relationships between patient, local area context, and health systems on these admission types after comparing them to a control group. This period spans the implementation of the Balanced Budget Act and a major Department of Health and Human Services initiative to reduce disparities in cardiovascular and other diseases. Findings suggest increasing disparities for African Americans relative to Whites in their lower utilization of CABG and PTCA over time, and increasing disparities in the utilization of hip/joint replacement among other races' relative to Whites. The authors find that racial or ethnic disparities in use of referral-sensitive procedures did not narrow over 1997-2001.
Jayasree Basu; Lee R Mobley
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.     Date:  2008-05-19
Journal Detail:
Title:  Medical care research and review : MCRR     Volume:  65     ISSN:  1077-5587     ISO Abbreviation:  Med Care Res Rev     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-15     Completed Date:  2008-11-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506850     Medline TA:  Med Care Res Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  617-37     Citation Subset:  IM    
Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA.
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MeSH Terms
Aged, 80 and over
Continental Population Groups*
Databases as Topic
Healthcare Disparities / trends*
Referral and Consultation
Surgical Procedures, Operative*
United States

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