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Medical Care Research and Review
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What's this?

Trends in Racial Disparities Among the Elderly for Selected Procedures

Jayasree Basu

Agency for Healthcare Research and Quality, Rockville, Maryland, Jayasree.basu{at}ahrq.hhs.gov

Lee R. Mobley

RTI International, Research Triangle Park, North Carolina

The authors examine trends over 1997-2001 in racial or ethnic disparities in the utilization of three costly, referral-sensitive procedures among the elderly—coronary artery bypass grafting (CABG), percutaneous transluminal coronary angioplasty (PTCA), and hip/joint replacement. Using a multivariate framework, they undertake a simultaneous examination of the relationships between patient, local area context, and health systems on these admission types after comparing them to a control group. This period spans the implementation of the Balanced Budget Act and a major Department of Health and Human Services initiative to reduce disparities in cardiovascular and other diseases. Findings suggest increasing disparities for African Americans relative to Whites in their lower utilization of CABG and PTCA over time, and increasing disparities in the utilization of hip/joint replacement among other races' relative to Whites. The authors find that racial or ethnic disparities in use of referral-sensitive procedures did not narrow over 1997-2001.

Key Words: racial disparities • CABG • PTCA • hip/joint replacement • referral-sensitive procedures • elderly

This version was published on October 1, 2008

Medical Care Research and Review, Vol. 65, No. 5, 617-637 (2008)
DOI: 10.1177/1077558708318284
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?