The effects of race and insurance on potentially avoidable hospitalizations in Tennessee
The effects of race and insurance on potentially avoidable hospitalizations in Tennessee
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DOI：
10.1177/1077558708318283
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发表时间：
2008-10-01
影响因子：
2.5
通讯作者：
Waters, Teresa M.
中科院分区：
文献类型：
--
作者：
Chang, Cyril F.;Mirvis, David M.;Waters, Teresa M.
这项研究调查了种族和保险对田纳西州潜在可避免住院 (PAH) 风险的影响。该研究将当前医疗保健研究和质量机构对门诊护理敏感病症的定义应用到住院患者出院数据中，发现住院的黑人患者比白人患者更有可能经历慢性病肺动脉高压。相比之下，在控制协变量后，黑人住院患者的急性病症风险低于白人住院患者。结果还显示了保险范围的强大影响。最后，使用按保险状况分组的数据对 PAH 相对风险的种族差异进行分析表明，每个子集中住院的黑人比住院的白人患 PAH 的风险更大，尽管风险因保险类型而异。不同种族和保险类别之间 PAH 风险的差异，以及与慢性病相关的额外风险，值得进一步研究。
This study examined effects of race and insurance on the risk of potentially avoidable hospitalizations (PAHs) in Tennessee. Applying the current Agency for Healthcare Research and Quality definitions for ambulatory-care-sensitive conditions to inpatient discharge data, the study found hospitalized Black patients more likely than their White counterparts to have experienced a PAH for chronic conditions. In contrast, Black inpatients' risk was lower than that of White inpatients for acute conditions after controlling for covariates. The results also showed the strong influence of insurance coverage. Finally, an analysis of racial differences in the relative risks for PAHs using data grouped by insurance status showed that hospitalized Blacks within each subset had a greater risk of having a PAH than hospitalized Whites, although the risk varied with insurance type. The variations of PAH risks across racial and insurance categories, together with the extra risks associated with chronic conditions, deserve greater examination.