ArticleInquiry : a journal of medical care organization, provision and financing
Racial/Ethnic Disparities in Readmissions in US Hospitals: The Role of Insurance Coverage.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to Reduce Hospital Readmissions in Older African Americans: A Systematic Review of Studies Including African American Patients.Journal of racial and ethnic health disparities · 2023Pooled it
- The Role of Bedside Medication Delivery in Reducing Hospital Readmissions: A Quality Improvement Study.Cureus · 2026Article
- Article
- Evaluation of racial/ethnic disparities in surgical outcomes after rectal cancer resection: An ACS-NSQIP analysis.Surgery in practice and science · 2024Article
- Racial/Ethnic Differences in Association Between Medicaid Expansion and Causes and Costs of Readmission After Acute Ischemic Stroke.Journal of racial and ethnic health disparities · 2024Article
- Effects of Mental Illness Amongst Adults in the United States Living With Diabetes Mellitus on Hospital Admissions.Cureus · 2023Article
- Review
- Factors Associated With In-Hospital Death Among Pneumonia Patients in US Hospitals From 2016~2019.International journal of health policy and management · 2023Article
- First-Line Therapy for Type 2 Diabetes With Sodium-Glucose Cotransporter-2 Inhibitors and Glucagon-Like Peptide-1 Receptor Agonists : A Cost-Effectiveness Study.Annals of internal medicine · 2022Article
- Racial Disparities in 7-Day Readmissions from an Adult Hospital Medicine Service.Journal of racial and ethnic health disparities · 2022Article
- A bias evaluation checklist for predictive models and its pilot application for 30-day hospital readmission models.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Association of County Race and Ethnicity Characteristics With Number of Insurance Carriers and Insurance Network Breadth.JAMA network open · 2022Article
- Hospital Readmission in Alcohol Use Disorder Patients: The Role of Anti-Craving Medications and Discharge Disposition.HCA healthcare journal of medicine · 2022Article
- Does Geographic Location Affect the Quality of Care? The Difference in Readmission Rates Between the Border and Non-Border Hospitals in Texas.Risk management and healthcare policy · 2022Article
- Geographic Disparities in Readmissions for Peripheral Artery Disease in South Carolina.International journal of environmental research and public health · 2021Article
- Effect of initiation of medications for opioid use disorder on hospitalization outcomes for endocarditis and osteomyelitis in a large private hospital system in the United States, 2014-18.Addiction (Abingdon, England) · 2021Article
- Risk of 28-day readmissions among stroke patients in Malaysia (2008-2015): Trends, causes and its associated factors.PloS one · 2021Article
- Article
- The Early Impact of the Centers for Medicare & Medicaid Services State Innovation Models Initiative on 30-Day Hospital Readmissions Among Adults With Diabetes.Medical care · 2020Article
- Assessing the impact of social determinants of health on predictive models for potentially avoidable 30-day readmission or death.PloS one · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We examine differences in rates of 30-day readmissions across patients by race/ethnicity and the extent to which these differences were moderated by insurance coverage. We use hospital discharge data of patients in the 18 years and above age group for 5 US states, California, Florida, Missouri, New York, and Tennessee for 2009, the latest year prior to the start of Centers for Medicare & Medicaid Services' Hospital Compare program of public reporting of hospital performance on 30-day readmissions. We use logistic regression models by state to estimate the association between insurance status, race, and the likelihood of a readmission within 30 days of an index hospital admission for any cause. Overall in 5 states, non-Hispanic blacks had a slightly higher risk of 30-day readmissions relative to non-Hispanic whites, although this pattern varied by state and insurance coverage. We found higher readmission risk for non-Hispanic blacks, compared with non-Hispanic whites, among those covered by Medicare and private insurance, but lower risk among uninsured and similar risk among Medicaid. Hispanics had lower risk of readmissions relative to non-Hispanic whites, and this pattern was common across subgroups with private, Medicaid, and no insurance coverage. Uninsurance was associated with lower risk of readmissions among minorities but higher risk of readmissions among non-Hispanic whites relative to private insurance. The study found that risk of readmissions by racial ethnic groups varies by insurance status, with lower readmission rates among minorities who were uninsured compared with those with private insurance or Medicare, suggesting that lower readmission rates may not always be construed as a good outcome, because it could result from a lack of insurance coverage and poor access to care, particularly among the minorities.
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