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...
| Publicado en: | Inquiry (00469580) Vol. 51; pp. 1 - 22 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jan-Dec2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103797025&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103797025 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: Jan-Dec2014 vid: 51 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 103797025 102472868 10.1177/0046958014545575 103797025 ppf: 1 ppct: 21 formats: fmt: @attributes: type: P tig: atl: Explaining Racial/Ethnic Disparities in Use of High-Volume Hospitals: Decision-Making Complexity and Local Hospital Environments. aug: au: Kronebusch, Karl Gray, Bradford H. Schlesinger, Mark affil: City University of New York, NY, USA sug: subj: Race Factors Healthcare Disparities Decision Making, Patient Health Resource Utilization Human Conceptual Framework Minority Groups Surgery, Operative Hispanic Americans White Persons Black Persons Asians Comorbidity Urban Areas Descriptive Statistics Funding Source Geographic Locations ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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