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Title
Differences by race in the rates of procedures performed in hospitals for Medicare beneficiaries.
First Author
McBean, A Marshall
Date of Pub
1994 Summer
Pages
77-90
Volume
15
Issue
4
Other Authors
Gornick, Marian
Abstract
This study analyzes administrative data from the Medicare program to compare differences by race in the use of 17 major procedures performed in the hospital. In both 1986 and 1992, black beneficiaries were less likely than white beneficiaries to have received these procedures while hospitalized. The largest differences were seen for "referral-sensitive surgeries" such as percutaneous transluminal coronary angioplasty, coronary artery bypass graft surgery, total knee replacement, and total hip replacement. These differences by race suggest that there are barriers to these services. In contrast, black beneficiaries were found to have substantially higher rates than white beneficiaries in the use of four procedures performed in the hospital: amputation of part of the lower limb, surgical debridement, arteriovenostomy, and bilateral orchiectomy. The types of procedures for which black beneficiaries have higher rates raise questions about whether there is a need for more comprehensive and continuous ambulatory care for the underlying health conditions associated with these procedures.
Abstract Continued
N/A
MeSH
Aged : Blacks/statistics & numerical data : Comparative Study : Data Collection : Health Services Accessibility : Health Services Research : Hospitalization/statistics & numerical data : Human : Medicare/utilization : Odds Ratio : Referral and Consultation : Surgical Procedures, Operative/statistics & numerical data/trends/utilization : United States : Utilization Review : Whites/statistics & numerical data
NTIS Number
PB99-106437