Race and sex differences in the use of cardiac procedures for patients with ischemic heart disease in Maryland.
This study analyzes administrative data from the Maryland Health Services Cost Review Commission to compare differences by race and sex in the use of cardiac procedures performed in hospitals in Maryland. African Americans discharged from Maryland hospitals were less likely than whites to have received cardiac procedures after controlling for age, insurance status, and the number of comorbidities (e.g., hypertension and diabetes). Overall, the general pattern of care suggests that African American women may receive high-technology cardiac treatment significantly less often than all other race and sex categories.
Brown
Samuel L
SL
School of Public Administration, College of Public Affairs and Community Service, University of Nebraska at Omaha, USA.
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000706:statistics & numerical data*; D006328:Cardiac Catheterization / Q000706:statistics & numerical data*; D015897:Comorbidity; D001026:Coronary Artery Bypass / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000592:standards; D006769:Hospitals, General; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D008396:Maryland / Q000453:epidemiology; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy*; D010343:Patient Admission / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012737:Sex Factors; D012959:Socioeconomic Factors; D044465:White People / Q000706:statistics & numerical data*