Evidence map›Paper›PMID 26421373›Full record

ArticleMedical care2015

Have Racial Disparities in Ambulatory Care Sensitive Admissions Abated Over Time?

Dana B Mukamel, Heather Ladd, Yue Li, Helena Temkin-Greener, Quyen Ngo-Metzger

Abstract read
In one paragraph

Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dana B MukamelDepartments of *Medicine, University of California, Irvine, CA †Department of Public Health Sciences, University of Rochester School of Medicine, Rochester, NY ‡Agency for Healthcare Research and Quality, Rockville, MD.
Heather Ladd
Yue Li
Helena Temkin-Greener
Quyen Ngo-Metzger

Funding

Impacts of nursing home competition & state policies on disparities in qualityR01MD007662 · NIMHD · UNIVERSITY OF ROCHESTER · PI LI, YUE · 2013 to 2016
$1.6M
NIMHD NIH HHS R01 MD007662
6 · The paper itself

Abstract

backgroundRacial disparities in access to care and access to high-quality care have been persistent over many decades. They have been documented in all areas of health care, including ambulatory care. Policy initiatives have been implemented to address disparities and close the gaps in care that minorities face. Less is known about the effectiveness of these polices.

objectivesTo evaluate whether disparities in quality of ambulatory care have abated during the decade of 2000 by answering 2 questions: (1) were there differences in ambulatory care sensitive hospital admissions rates by race?; (2) have these differences been declining over time? RESEARCH

designMultivariable linear regressions with fixed county effects and robust SEs of longitudinal panel data. SUBJECTS: A total of 4,032,322 discharges in 172 counties in 6 states during 2003-2009. MEASURES: Prevention Quality Indicators (PQIs) developed by the Agency for Healthcare Research and Quality, by county, and race calculated from the Healthcare Cost and Utilization Project dataset.

resultsIn 2003 the overall PQI admission rates were higher for African Americans (around 16.5/1000) than for whites (around 15/1000). By 2009, the overall and the chronic PQI admission rates declined significantly (P<0.01) for whites. They either did not decline or increased for African Americans. Acute PQI rates declined significantly for whites and remained stable for African Americans.

conclusionsPolicies addressing persisting racial disparities in quality of ambulatory care for African Americans should focus on the chronic PQIs. In addition, efforts should be made to improve data quality for race and ethnicity information on hospital discharge data to enable informed policy evaluation and planning.

Indexed as

Health Status DisparitiesAmbulatory CareBlack or African AmericanEthnicityHealthcare DisparitiesHealth Services AccessibilityHispanic or LatinoHumansLinear ModelsQuality of Health CareRegression AnalysisRetrospective StudiesSocioeconomic FactorsWhite People

Identifiers

PMID26421373
PMCPMC4607653

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.