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Racial Inequalities in the Use of Procedures for Patients With Ischemic Heart Disease in Massachusetts
Abstract
To examine interracial differences in the utilization of coronary angiography, coronary artery bypass grafting, and coronary angioplasty for white and black patients, we examined all admissions for circulatory diseases or chest pain to Massachusetts hospitals in 1985. After controlling for age, sex, payer, income, primary diagnoses, and the number of secondary diagnoses, whites underwent significantly more angiography and coronary artery bypass grafting procedures. Whites also underwent more angioplasty procedures, but the difference was not statistically significant. Although utilization differences may reflect patient preference or different levels of disease severity and socioeconomic status not adequately accounted for, this study suggests that substantial racial inequalities exist in the use of procedures for patients hospitalized with coronary heart disease.
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Citations
Cited by
The Effect of Race and Sex on Physicians' Recommendations for Cardiac Catheterization
Schulman, K. A., Berlin, J. A., Harless, W., Kerner, J. F., Sistrunk, S., Gersh, B. J., Dubé, R., Taleghani, C. K., Burke, J. E., Williams, S., et al. (1999) · New England Journal of Medicine · doi:10.1056/nejm199902253400806 · Cited by 1,934
The effect of patient race and socio-economic status on physicians' perceptions of patients
van Ryn, M., & Burke, J. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00338-x · Cited by 1,509
Patient-Centered Communication, Ratings of Care, and Concordance of Patient and Physician Race
Cooper, L. A., Roter, D. L., Johnson, R. L., Ford, D. E., Steinwachs, D. M., & Powe, N. R. (2003) · Annals of Internal Medicine · doi:10.7326/0003-4819-139-11-200312020-00009 · Cited by 1,371
Racial discrimination and blood pressure: the CARDIA Study of young black and white adults
Krieger, N., & Sidney, S. (1996) · American Journal of Public Health · doi:10.2105/ajph.86.10.1370 · Cited by 1,296
Under the shadow of Tuskegee: African Americans and health care.
Gamble, V. N. (1997) · American Journal of Public Health · doi:10.2105/ajph.87.11.1773 · Cited by 1,263
Metadata
- Authors
- Wenneker, M. B.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1989-01-13
- Volume
- 261
- Issue
- 2
- Pages
- 253
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2043080412
- Cited by
- 526
- References
- 0
- FWCI
- 42.28
- Type
- journal article
- Language
- en
- Open access
- closed
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- Wenneker, M. B. (1989). Racial Inequalities in the Use of Procedures for Patients With Ischemic Heart Disease in Massachusetts. JAMA: The Journal of the American Medical Association. https://doi.org/10.1001/jama.1989.03420020107039
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