Chapter 2. Quality of Health Care (continued, 6)

National Healthcare Disparities Report, 2009


Summary Tables (continued)

Table 2.2a. Racial and Ethnic Differences in Patient Safety

Core Report MeasureRacial DifferenceiEthnic Differenceii
BlackAsianNHOPIAI/ANMore than 1 RaceHispanic
Health Care-Associated Infections
Adult surgery patients who received appropriate timing of antibioticsiii=  
Postoperative Complications
Composite: Adult surgery patients with postoperative complicationsiii=     
Other Complications of Hospital Care
Composite: Bloodstream infections or mechanical complications per 1,000 central venous catheter placementsiii=     
Deaths per 1,000 discharges following complications of careiv=   =
Complications of Medications
Adults age 65 and over who received potentially inappropriate prescription medicationsv=    =

i Compared with Whites.
ii Compared with non-Hispanic Whites.
iii Source: Medicare Patient Safety Monitoring System, 2007.
iv Source: HCUP State Inpatient Databases disparities analysis file, 2006. This source categorizes race/ethnicity information as a single item: non-Hispanic White, non-Hispanic Black, Hispanic, Asian and Pacific Islander. These contrasts compare each group with non-Hispanic Whites.
v Source: Medical Expenditure Panel Survey, 2006. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian and Pacific Islander. This source did not collect information for More than 1 Race.

Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native.

Key to Symbols Used in Quality of Health Care Tables:
= Group and comparison group receive about same quality of health care or have similar outcomes.
↑ Group receives better quality of health care than the comparison group or has better outcomes.
↓ Group receives poorer quality of health care than the comparison group or has worse outcomes.
Blank cell: Reliable estimate for group could not be made.

Table 2.3a. Racial and Ethnic Differences in Timeliness and Patient Centeredness

Core Report MeasureRacial Differencei Ethnic Differenceii
BlackAsianNHOPIAI/ANMore than 1 RaceHispanic
Timeliness
Adults who sometimes or never got care for illness or injury as soon as wantediii ==  =
Emergency department visits in which patients left without being seeniv =    
Patient Centeredness
Composite: Adults who reported poor provider-patient communicationiii =  =
Composite: Children whose parents reported poor provider-patient communicationiii ==  =

i Compared with Whites.
ii Compared with non-Hispanic Whites.
iii Source: Medical Expenditure Panel Survey, 2006. This source did not collect information for More than 1 Race.
iv Source: National Hospital Ambulatory Medical Care Survey - Emergency Department, 2006-2007. Missing rates preclude analysis by ethnicity.

Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native.

Key to Symbols Used in Quality of Health Care Tables:
= Group and comparison group receive about same quality of health care or have similar outcomes.
↑ Group receives better quality of health care than the comparison group or has better outcomes.
↓ Group receives poorer quality of health care than the comparison group or has worse outcomes.
Blank cell: Reliable estimate for group could not be made.

Table 2.3b. Socioeconomic Differences in Timeliness and Patient Centeredness

Core Report MeasureIncome Differencei Educational Differenceii Insurance Differenceiii
<100%100-199%200-399%<HSHS GradUninsured
Timeliness
Adults who sometimes or never got care for illness or injury as soon as wantediv =
Emergency department visits in which patients left without being seenv      
Patient Centeredness
Composite: Adults who reported poor provider-patient communicationiv
Composite: Children whose parents reported poor provider-patient communicationiv   =

i Compared with persons with family incomes 400% of Federal poverty thresholds or above.
ii Compared with persons with any college education.
iii Compared with persons under 65 with any private health insurance.
iv Source: Medical Expenditure Panel Survey, 2006.
v Source: National Hospital Ambulatory Medical Care Survey - Emergency Department, 2006-2007.

Key: HS=high school.

Key to Symbols Used in Quality of Health Care Tables:
= Group and comparison group receive about same quality of health care or have similar outcomes.
↑ Group receives better quality of health care than the comparison group or has better outcomes.
↓ Group receives poorer quality of health care than the comparison group or has worse outcomes.
Blank cell: Reliable estimate for group could not be made.


Proceed to Next Section

Current as of March 2010
Internet Citation: Chapter 2. Quality of Health Care (continued, 6): National Healthcare Disparities Report, 2009. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhdr09/Chap2f.html