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Racial Disparities in the Use of Cardiac Revascularization: Does Local Hospital Capacity Matter?

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  • Suhui Li
  • Arnold Chen
  • Katherine Mead

Abstract

Objective: To assess the extent to which the observed racial disparities in cardiac revascularization use can be explained by the variation across counties where patients live, and how the within-county racial disparities is associated with the local hospital capacity. Data Sources: Administrative data from Pennsylvania Health Care Cost Containment Council (PHC4) between 1995 and 2006. Study Design: The study sample included 207,570 Medicare patients admitted to hospital for acute myocardial infarction (AMI). We identified the use of coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) procedures within three months after the patient’s initial admission for AMI. Multi-level hierarchical models were used to determine the extent to which racial disparities in procedure use were attributable to the variation in local hospital capacity. Principal Findings: Blacks were less likely than whites to receive CABG (9.1% vs. 5.8%; p

Suggested Citation

  • Suhui Li & Arnold Chen & Katherine Mead, 2013. "Racial Disparities in the Use of Cardiac Revascularization: Does Local Hospital Capacity Matter?," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.
    • Handle: RePEc:plo:pone00:0069855
    DOI: 10.1371/journal.pone.0069855
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    References listed on IDEAS

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    1. Skinner Jonathan & Wennberg John E., 2000. "Regional Inequality in Medicare Spending: The Key to Medicare Reform?," Forum for Health Economics & Policy, De Gruyter, vol. 3(1), pages 1-24, January.
    2. Hoangmai H. Pham & Paul B. Ginsburg & Timothy K. Lake & Myles M. Maxfield, "undated". "Episode-Based Payments: Charting a Course for Health Care Payment Reform," Mathematica Policy Research Reports ba8c96be68a4498ab57e16cf4, Mathematica Policy Research.
    3. repec:mpr:mprres:6493 is not listed on IDEAS
    4. Mercuri, Mat & Natarajan, Madhu K. & Holder, Douglas H. & Xie, Changchun & Gafni, Amiram, 2009. "Insight into capacity planning for cardiac catheterization services: Policy lessons learned from "Looking in the Mirror" over a decade," Health Policy, Elsevier, vol. 91(3), pages 314-320, August.
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    Cited by:

    1. Vijaya Sundararajan & Ou Yang & Jongsay Yong, 2023. "Socioeconomic status and access to care in a universal healthcare system: The case of acute myocardial infarction in Australia," Melbourne Institute Working Paper Series wp2023n10, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.

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