ArticleHealth services research and managerial epidemiology
Association Between Racial Disparities in Hospital Length of Stay and the Hospital Readmission Reduction Program.
Article in Health services research and managerial epidemiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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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.
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Who cites it
5 citing papers in PubMed.
- Impact of a COPD Bundled Payments for Care Innovation Program on Readmissions and Inpatient Care Quality: an Instrumental Variable Analysis.CHEST pulmonary · 2026Article
- Influence of physical function and frailty on unplanned readmission in middle-aged and older patients discharged from a hospital: a follow-up study.Scientific reports · 2025Article
- Acute pediatric appendicitis in black and white: clinical disparities, impact and future recommendations.Frontiers in pediatrics · 2024Review
- Improving Fairness in the Prediction of Heart Failure Length of Stay and Mortality by Integrating Social Determinants of Health.Circulation. Heart failure · 2022Article
- We Live in Interesting Times: How Health Services Research and Managerial Epidemiology Helps Point the Way Forward.Health services research and managerial epidemiologyArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOn average Black patients have longer LOS than comparable White patients. Longer hospital length of stay (LOS) may be associated with higher readmission risk. However, evidence suggests that the Hospital Readmission Reduction Program (HRRP) reduced overall racial differences in 30-day adjusted readmission risk. Yet, it is unclear whether the HRRP narrowed these LOS racial differences.
objectiveWe examined the relationship between Medicare-insured Black-White differences in average, adjusted LOS (ALOS) and the HRRP's implementation and evaluation periods.
methodsUsing 2009-2017 data from State Inpatient Dataset from New York, New Jersey, and Florida, we employed an interrupted time series analysis with multivariate generalized regression models controlling for patient, disease, and hospital characteristics. Results are reported per 100 admissions.
resultsWe found that for those discharged home, Black-White ALOS differences significantly widened by 4.15 days per 100 admissions (95% CI: 1.19 to 7.11,
conclusionIncreased LOS for Black patients may have played a role in reducing Black-White disparities in 30-day readmission risks for targeted conditions among patients discharged to home.
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