ArticleEuropean journal of public health2013
Ethnic variations in unplanned readmissions and excess length of hospital stay: a nationwide record-linked cohort study.
Article in European journal of public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
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- Health care professionals' perspectives on medication safety among older migrants with cognitive impairment exposed to polypharmacy - A qualitative explorative study.Exploratory research in clinical and social pharmacy · 2022Article
- Patient safety in marginalised groups: a narrative scoping review.International journal for equity in health · 2020Article
- Racial and Ethnic Differences in 30-Day Hospital Readmissions Among US Adults With Diabetes.JAMA network open · 2019Article
- Assessment of health care, hospital admissions, and mortality by ethnicity: population-based cohort study of health-system performance in Scotland.The Lancet. Public health · 2018Article
- Health care curricula in multicultural societies.International journal of medical education · 2018Article
- The Impact of Being a Migrant from a Non-English-Speaking Country on Healthcare Outcomes in Frail Older Inpatients: an Australian Study.Journal of cross-cultural gerontology · 2017Article
- Exploring the efficiency of the Tilburg Frailty Indicator: a review.Clinical interventions in aging · 2017Review
- How should health service organizations respond to diversity? A content analysis of six approaches.BMC health services research · 2015Article
- Association between Total Daily Doses with duration of hospitalization among readmitted patients in a multi-ethnic Asian population.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2015Article
- Observational
- Cultural diversity: blind spot in medical curriculum documents, a document analysis.BMC medical education · 2014Article
- New utility for an old tool: can a simple gait speed test predict ambulatory surgical discharge outcomes?American journal of physical medicine & rehabilitation · 2013Article
- Design of a prospective cohort study to assess ethnic inequalities in patient safety in hospital care using mixed methods.BMC health services research · 2012Article
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Authors and funding
7 authors.
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Abstract
backgroundStudies in the USA have shown ethnic inequalities in quality of hospital care, but in Europe, this has never been analysed. We explored variations in indicators of quality of hospital care by ethnicity in the Netherlands.
methodsWe analysed unplanned readmissions and excess length of stay (LOS) across ethnic groups in a large population of hospitalized patients over an 11-year period by linking information from the national hospital discharge register, the Dutch population register and socio-economic data. Data were analysed with stepwise logistic regression.
resultsEthnic differences were most pronounced in older patients: all non-Western ethnic groups > 45 years had an increased risk for excess LOS compared with ethnic Dutch patients, with odds ratios (ORs) (adjusted for case mix) varying from 1.05 [95% confidence intervals (95% CI) 1.02-1.08] for other non-Western patients to 1.14 (95% CI 1.07-1.22) for Moroccan patients. The risk for unplanned readmission in patients >45 years was increased for Turkish (OR 1.24, 95% CI 1.18-1.30) and Surinamese patients (OR 1.11, 95% CI 1.07-1.16). These differences were explained partially, although not substantially, by differences in socio-economic status.
conclusionWe found significant ethnic variations in unplanned readmissions and excess LOS. These differences may be interpretable as shortcomings in the quality of hospital care delivered to ethnic minority patients, but exclusion of alternative explanations (such as differences in patient- and community-level factors, which are outside hospitals' control) requires further research. To quantify potential ethnic inequities in hospital care in Europe, we need empirical prospective cohort studies with solid quality outcomes such as adverse event rates.
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