Quality of Health Care

Diabetes. Effective outpatient care for diabetes reduces admissions for uncontrolled diabetes. Although not all admissions for uncontrolled diabetes can be avoided, rates in populations tend to vary with access to outpatient services.

Figure 4.30. Adult admissions for uncontrolled diabetes without complications per 100,000 population by race/ethnicity, 2001

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Source: HCUP SID disparities analysis file, 2001.

Reference population: Civilian noninstitutionalized population age 18 and older.

• In 2001, rates of adult admissions for uncontrolled diabetes were higher among residents of micropolitan and non-core based statistical areas than among residents of metropolitan statistical areas.
• Admission rates for uncontrolled diabetes were higher among Hispanics than among non-Hispanic whites in metropolitan areas and higher among blacks than among non-Hispanic whites in all geographic areas (Figure 4.30).

Heart disease. Inpatient death rates may in part reflect access to high quality hospital care.

Figure 4.31. Deaths per 1,000 adult admissions for acute myocardial infarction by race/ethnicity, 2001

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Source: HCUP SID disparities analysis file, 2001.

Reference population: Adults age 18 and older hospitalized with acute myocardial infarction.

Note: White and Black are non-Hispanic groups.

• In 2001, inpatient death rates among adults admitted for acute myocardial infarction were higher among residents of micropolitan and non-core based statistical areas than among residents of metropolitan statistical areas.
• Inpatient death rates were higher among Hispanics than among non-Hispanic whites in non-core based statistical areas (Figure 4.31). Black-white differences were not significant.

Child health. Effective primary care for children should result in fewer admissions for pediatric gastroenteritis.

Figure 4.32. Pediatric admissions for gastroenteritis per 100,000 population by race/ethnicity, 2001

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Source: HCUP SID disparities analysis file, 2001.

Reference population: Children age 0 to 17.

Note: White and Black are non-Hispanic groups.

• In 2001, admission rates for pediatric gastroenteritis were higher among residents of micropolitan and non-core based statistical areas than among residents of metropolitan statistical areas.
• Admission rates for pediatric gastroenteritis were similar among all racial/ethnic groups in all statistical areas (Figure 4.32).

Patient safety. AHRQ's Patient Safety Indicators capture adverse events associated with inpatient care but cannot distinguish between events that are avoidable and unavoidable.

Figure 4.33. Deaths per 1,000 discharges with complications potentially resulting from care (failure to rescue) by race/ethnicity, 2001

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Source: HCUP SID disparities analysis file, 2001.

Reference population: People discharged with complications potentially resulting from care.

Note: White, Black, and API are non-Hispanic groups.

• In 2001, rates of death associated with complications potentially resulting from hospital care (failure to rescue) were lower among residents of micropolitan and non-core based statistical areas than among residents of metropolitan statistical areas.
• Rates of death associated with complications were higher among blacks, Hispanics, and APIs than among non-Hispanic whites in metropolitan statistical areas and higher among blacks than among non-Hispanic whites in micropolitan statistical areas (Figure 4.33).

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