Racial/ethnic disparities in potentially preventable readmissions: the case of diabetes.
OBJECTIVES: Considerable differences in prevalence of diabetes and management of the disease exist among racial/ethnic groups. We examined the relationship between race/ethnicity and hospital readmissions for diabetes-related conditions. METHODS: Nonmaternal adult patients with Medicare, Medicaid, o...
| Publicado en: | American Journal of Public Health Vol. 95; no. 9; pp. 1561 - 1568 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Public Health Association
Sep2005
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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=106531437&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106531437 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Sep2005 vid: 95 iid: 9 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 106531437 18105794 2009029752 10.2105/AJPH.2004.044222 NLM16118367 106531437 ppf: 1561 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Racial/ethnic disparities in potentially preventable readmissions: the case of diabetes. aug: au: Jiang HJ Andrews R Stryer D Friedman B affil: Center for Delivery, Organization and Markets, Agency for Healthcare Research and Quality, 540 Gaither Rd, Rockville, MD 20850; jjiang@ahrq.gov sug: subj: Diabetes Mellitus Complications Diabetes Mellitus Prevention and Control Disease Management Race Factors Readmission Evaluation Adult After Care Age Factors Aged Black Persons California Chi Square Test Cross Sectional Studies Demography Health Care Costs Health Resource Utilization Health Services Research Hispanic Americans Hospitals Inpatients Insurance, Health International Classification of Diseases Logistic Regression Medicaid Medicare Middle Age Missouri New York P-Value Record Review Resource Databases, Health Socioeconomic Factors Tennessee Time Factors Vascular Diseases Virginia Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years ab: OBJECTIVES: Considerable differences in prevalence of diabetes and management of the disease exist among racial/ethnic groups. We examined the relationship between race/ethnicity and hospital readmissions for diabetes-related conditions. METHODS: Nonmaternal adult patients with Medicare, Medicaid, or private insurance coverage hospitalized for diabetes-related conditions in 5 states were identified from the 1999 State Inpatient Databases of the Healthcare Cost and Utilization Project. Racial/ethnic differences in the likelihood of readmission were estimated by logistic regression with adjustment for patient demographic, clinical, and socioeconomic characteristics and hospital attributes. RESULTS: The risk-adjusted likelihood of 180-day readmission was significantly lower for non-Hispanic Whites than for Hispanics across all 3 payers or for non-Hispanic Blacks among Medicare enrollees. Within each payer, Hispanics from low-income communities had the highest risk of readmission. Among Medicare beneficiaries, Blacks and Hispanics had higher percentages of readmission for acute complications and microvascular disease, while Whites had higher percentages of readmission for macrovascular conditions. CONCLUSIONS: Racial/ethnic disparities are more evident in 180-day than in 30-day readmission rates, and greatest among the Medicare population. Readmission diagnoses vary by race/ethnicity, with Blacks and Hispanics at higher risk for those complications more likely preventable with effective postdischarge care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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