Black-white treatment differences in acute myocardial infarction.
Mitchell, Janet B
Date of Pub
Khandker, Rezaul K
Previous research has documented that black patients with acute myocardial infarction (AMI) are significantly less likely
than white patients to receive cardiac procedures. This article seeks to expand this research by: controlling for the limited
ability of low income elderly to pay for care; and adjusting for the impact of differential mortality. We selected a sample
of 18,202 Medicare beneficiaries admitted during 1992 with AMI, and followed them for 90 days. Even after adjusting for other
factors, black patients with AMI were less likely to undergo cardiac catheterization, and if catheterized, less likely to
receive a revascularization procedure.
Age Factors : Aged : Blacks/statistics & numerical data : Comparative Study : Health Services Accessibility/economics/statistics
& numerical data : Health Services Research : Human : Medicare/standards/utilization : Multivariate Analysis : Myocardial
Infarction/economics/mortality/therapy : Physician's Practice Patterns/statistics & numerical data : Socioeconomic Factors
: Support, U.S. Gov't, Non-P.H.S. : United States/epidemiology : Whites/statistics & numerical data