Racial Differences in Admissions to High-Quality Hospitals for Coronary Heart Disease
Racial Differences in Admissions to High-Quality Hospitals for Coronary Heart Disease
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DOI：
10.1001/archinternmed.2010.227
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发表时间：
2010-07-26
影响因子：
--
通讯作者：
Cram, Peter
中科院分区：
文献类型：
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作者：
Popescu, Ioana;Nallamothu, Brahmajee K.;Cram, Peter
Background: Research increasingly shows that blacks with coronary heart disease (CHD) are treated at lower-quality hospitals. Little is known about racial differences in admission to high-quality hospitals.Methods: We identified all black and white Medicare patients with acute myocardial infarction and coronary artery bypass grafting (CABG) admitted during 2002 through 2005 to hospitals located in markets with top-ranked cardiac hospitals, as ascertained from the US News and World Report "America's Best Hospitals" annual rankings. The relationship between race and admission to top-ranked hospitals was estimated using multinomial conditional logit models to account for distance from patient residence to all available hospitals.Results: In unadjusted analyses, blacks with AMI or undergoing CABG, compared with whites, were more likely to be admitted to top-ranked hospitals (18.3% vs 10.5% and 34.4% vs 22.7% [P
