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Racial differences in access to high-quality cardiac surgeons

Author

Listed:
  • Mukamel, D.B.
  • Murthy, A.S.
  • Weimer, D.L.

Abstract

Objectives. Racial differences in access to cardiac artery bypass graft (CABG) surgery are well documented. This study extends the literature by examining racial differences in access to high-quality cardiac surgeons. Methods. The analyses included 11296 CABG surgeries in New York State in 1996. Regression techniques were used to identify significant associations between a patient's race, health maintenance organization (HMO) enrollment, and the quality of the surgeon performing the surgery, measured by the surgeon's risk-adjusted mortality rate (RAMR). Results. Non-Whites were more likely than Whites to have access to surgeons of higher RAMR, by 11.7% among HMO enrollees (1-tailed P

Suggested Citation

  • Mukamel, D.B. & Murthy, A.S. & Weimer, D.L., 2000. "Racial differences in access to high-quality cardiac surgeons," American Journal of Public Health, American Public Health Association, vol. 90(11), pages 1774-1777.
    • Handle: RePEc:aph:ajpbhl:2000:90:11:1774-1777_0
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    Cited by:

    1. Doyle Jr., Joseph J. & Ewer, Steven M. & Wagner, Todd H., 2010. "Returns to physician human capital: Evidence from patients randomized to physician teams," Journal of Health Economics, Elsevier, vol. 29(6), pages 866-882, December.
    2. Behrendt, Katja & Groene, Oliver, 2016. "Mechanisms and effects of public reporting of surgeon outcomes: A systematic review of the literature," Health Policy, Elsevier, vol. 120(10), pages 1151-1161.
    3. Joseph J. Doyle, Jr. & Steven M. Ewer & Todd H. Wagner, 2008. "Returns to Physician Human Capital: Analyzing Patients Randomized to Physician Teams," NBER Working Papers 14174, National Bureau of Economic Research, Inc.
    4. Samuel L. Myers, 2002. "Presidential address-analysis of race as policy analysis," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 21(2), pages 169-190.
    5. Simeonova, Emilia, 2013. "Doctors, patients and the racial mortality gap," Journal of Health Economics, Elsevier, vol. 32(5), pages 895-908.
    6. Darrell Gaskin & Alvin Headen & Shelley White-Means, 2005. "Racial disparities in health and wealth: The effects of slavery and past discrimination," The Review of Black Political Economy, Springer;National Economic Association, vol. 32(3), pages 95-110, March.

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