ArticleHealth services research2017
Methods for Measuring Racial Differences in Hospitals Outcomes Attributable to Disparities in Use of High-Quality Hospital Care.
Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Current strategies and future directions to enhance recovery following critical illness.Thorax · 2026Review
- Alternative Approaches to Characterizing Disparate Care by Race, Ethnicity, and Insurance Between Hospitals.International journal of environmental research and public health · 2025Article
- Intracoronary Imaging: Blind to Color and Sex but Not Income or Insurance.Journal of the Society for Cardiovascular Angiography & Interventions · 2024Article
- Examination of the Black-White racial disparity in severe maternal morbidity among Georgia deliveries, 2016 to 2020.AJOG global reports · 2024Article
- Hospital Quality of Care and Racial and Ethnic Disparities in Unexpected Newborn Complications.Pediatrics · 2021Article
- Birth hospital and racial and ethnic differences in severe maternal morbidity in the state of California.American journal of obstetrics and gynecology · 2021Article
- Race and Ethnicity, Medical Insurance, and Within-Hospital Severe Maternal Morbidity Disparities.Obstetrics and gynecology · 2020Article
- Midlife mortality in White non-Hispanic male veterans enrolled in Department of Veterans Affairs primary care, 2003-2014.Heliyon · 2020Article
- Impact of hospitals' Referral Region racial and ethnic diversity on 30-day readmission rates of older adults.Journal of community hospital internal medicine perspectives · 2019Article
- Managing acute cholecystitis among Medicaid insured in New York State: opportunities to optimize care.Surgical endoscopy · 2018Observational
- Improving hospital quality to reduce disparities in severe maternal morbidity and mortality.Seminars in perinatology · 2017Review
- Severe Maternal Morbidity Among Hispanic Women in New York City: Investigation of Health Disparities.Obstetrics and gynecology · 2017Article
- Social disadvantage and the black-white disparity in spontaneous preterm delivery among California births.PloS one · 2017Article
- Site of delivery contribution to black-white severe maternal morbidity disparity.American journal of obstetrics and gynecology · 2016Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo compare two approaches to measuring racial/ethnic disparities in the use of high-quality hospitals. DATA SOURCES: Simulated data. STUDY
designThrough simulations, we compared the "minority-serving" approach of assessing differences in risk-adjusted outcomes at minority-serving and non-minority-serving hospitals with a "fixed-effect" approach that estimated the reduction in adverse outcomes if the distribution of minority and white patients across hospitals was the same. We evaluated each method's ability to detect and measure a disparity in outcomes caused by minority patients receiving care at poor-quality hospitals, which we label a "between-hospital" disparity, and to reject it when the disparity in outcomes was caused by factors other than hospital quality. PRINCIPAL
findingsThe minority-serving and fixed-effect approaches correctly identified between-hospital disparities in quality when they existed and rejected them when racial differences in outcomes were caused by other disparities; however, the fixed-effect approach has many advantages. It does not require an ad hoc definition of a minority-serving hospital, and it estimated the magnitude of the disparity accurately, while the minority-serving approach underestimated the disparity by 35-46 percent.
conclusionsResearchers should consider using the fixed-effect approach for measuring disparities in use of high-quality hospital care by vulnerable populations.
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