Explaining Racial/Ethnic Disparities in Use of High-Volume Hospitals: Decision-Making Complexity and Local Hospital Environments.

Racial/ethnic minorities are less likely to use higher-quality hospitals than whites. We propose that a higher level of information-related complexity in their local hospital environments compounds the effects of discrimination and more limited access to services, contributing to racial/ethnic dispa...

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Detalles Bibliográficos
Publicado en:Inquiry (00469580) Vol. 51; pp. 1 - 22
Autores principales: Kronebusch, Karl, Gray, Bradford H., Schlesinger, Mark
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Jan-Dec2014
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Racial/ethnic minorities are less likely to use higher-quality hospitals than whites. We propose that a higher level of information-related complexity in their local hospital environments compounds the effects of discrimination and more limited access to services, contributing to racial/ethnic disparities in hospital use. While minorities live closer than whites to high-volume hospitals, minorities also face greater choice complexity and live in neighborhoods with lower levels of medical experience. Our empirical results reveal that it is generally the overall context associated with proximity, choice complexity, and local experience, rather than differential sensitivity to these factors, that provides a partial explanation of the disparity gap in high-volume hospital use.