Table 10_4_2-2

2008 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 10_4_2.2
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance, by race/ethnicity, United States, 2005
Population group		Total		Non-Hispanic						Hispanic, all races
		Total		White		Black		API		Hispanic, all races
		Rate^a	SE	Rate^a	SE	Rate^a	SE	Rate^a	SE	Rate^a	SE
Total		38.8	0.1	42.0	0.2	29.0	0.3	58.6	0.6	33.3	0.2
Age	10–14	72.5	3.8	77.7	8.6	75.9	6.3	*	*	65.5	6.1
	15–17	57.0	0.8	54.1	1.3	53.5	1.6	71.2	5.8	59.1	1.2
	18–24	36.9	0.2	39.2	0.3	29.9	0.5	48.3	1.4	35.8	0.4
	25–34	41.7	0.2	46.1	0.2	26.4	0.6	66.3	0.8	31.1	0.4
	35–54	28.0	0.3	30.0	0.4	19.8	1.0	40.0	1.2	20.8	0.7
Median income of patient's ZIP Code	First quartile (lowest income)	33.4	0.2	37.2	0.4	27.4	0.5	59.4	1.5	31.0	0.4
	Second quartile	36.5	0.3	38.2	0.4	29.3	0.7	54.0	1.4	33.8	0.5
	Third quartile	41.2	0.3	44.0	0.3	30.3	0.8	55.7	1.2	34.6	0.5
	Fourth quartile (highest income)	46.0	0.3	46.6	0.3	33.0	1.0	61.9	0.9	37.1	0.7
Location of patient residence	Large central metropolitan	39.1	0.2	45.7	0.4	31.0	0.5	58.8	0.8	33.5	0.3
	Large fringe metropolitan	42.6	0.3	45.2	0.3	28.9	0.7	67.5	1.3	36.0	0.6
	Medium metropolitan	36.9	0.3	40.2	0.4	25.3	0.9	56.0	1.6	30.2	0.6
	Small metropolitan	37.6	0.4	39.5	0.5	31.3	1.3	39.3	3.0	33.1	1.1
	Micropolitan (nonmetro)	34.6	0.4	36.6	0.5	21.9	1.4	45.0	2.5	29.7	1.1
	Noncore (nonmetro)	36.3	0.5	36.9	0.6	25.2	1.8	*	*	42.6	1.6
Expected payment source	Private insurance	45.9	0.2	47.7	0.2	34.8	0.6	62.0	0.7	34.7	0.5
	Medicare	35.3	2.1	37.1	2.8	31.1	4.4	*	*	34.6	5.3
	Medicaid	31.9	0.2	31.6	0.3	26.0	0.4	52.8	1.1	32.8	0.3
	Other insurance	36.3	0.9	39.6	1.1	23.3	2.5	37.3	4.9	32.8	2.1
	Uninsured/self-pay/no charge	35.1	0.6	34.4	1.2	32.5	2.1	50.4	3.2	33.0	0.8
Region of inpatient treatment	Northeast	37.9	0.3	37.8	0.4	26.5	0.8	69.6	1.3	34.4	0.7
	Midwest	44.2	0.3	45.9	0.3	36.0	0.7	59.1	1.9	34.1	1.1
	South	38.1	0.2	42.4	0.3	26.5	0.5	65.0	1.4	34.9	0.4
	West	36.0	0.3	39.0	0.4	29.0	1.1	51.0	0.9	31.5	0.4
Ownership/control of hospital	Private, not for profit	40.0	0.1	42.6	0.2	30.2	0.4	59.3	0.7	33.6	0.3
	Private, for profit	34.2	0.3	39.8	0.5	27.0	1.0	53.6	2.1	27.9	0.6
	Public	36.9	0.3	39.2	0.6	23.7	0.9	56.8	1.9	37.3	0.5
Teaching status of hospital	Teaching	42.7	0.2	45.3	0.3	29.7	0.5	67.8	1.0	40.0	0.4
Teaching status of hospital	Nonteaching	37.2	0.1	40.8	0.2	28.5	0.4	53.4	0.8	30.1	0.3
Location of hospital	Large central metropolitan	39.7	0.2	45.7	0.3	30.8	0.5	60.0	0.8	34.0	0.3
	Large fringe metropolitan	42.1	0.3	44.8	0.4	29.1	0.8	66.0	1.4	34.7	0.7
	Medium metropolitan	37.1	0.3	40.4	0.4	25.2	0.8	56.4	1.6	30.2	0.6
	Small metropolitan	38.4	0.4	40.1	0.5	31.5	1.2	36.1	3.0	35.8	1.1
	Micropolitan (nonmetro)	34.1	0.4	35.7	0.5	23.5	1.3	44.1	2.5	30.9	1.1
	Noncore (nonmetro)	32.1	0.8	34.0	0.9	17.4	2.8	*	*	32.6	2.4
Bed size of hospital	Less than 100	34.0	0.4	36.2	0.5	23.7	1.5	34.8	2.6	29.4	0.9
	100–299	38.3	0.2	42.1	0.3	27.4	0.6	55.3	0.8	30.8	0.4
	300–499	39.6	0.2	43.2	0.3	30.4	0.5	63.3	1.1	34.4	0.4
	500 or more	41.5	0.3	44.6	0.4	29.6	0.7	69.0	1.5	37.8	0.5

^a Rates are adjusted by age. When reporting is by age, there is no adjustment.

* - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: API: Asian or Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2005. This file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 23 States: AR, AZ, CA, CO, CT, FL, GA, HI, KS, MA, MD, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, VT, and WI.

Current as of September 2009

Internet Citation: Table 10_4_2-2: 2008 National Healthcare Quality and Disparities Reports. September 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr08/10_patientsafety/T10_4_2-2.html