Table 10_4_3-2

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_3.2
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, 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		165.0	0.8	174.6	1.0	106.4	2.3	233.8	3.0	141.3	1.6
Age	10–14	186.5	16.1	164.6	33.3	223.7	26.1	*	*	174.5	28.0
	15–17	129.7	3.0	130.2	5.2	119.9	6.2	174.8	25.8	132.9	5.0
	18–24	135.3	1.2	138.8	1.7	99.4	2.9	186.3	7.0	138.8	2.2
	25–34	200.7	1.2	213.9	1.6	104.1	4.4	272.9	4.0	148.2	2.8
	35–54	134.3	2.0	141.3	2.5	77.0	7.6	183.8	6.5	93.5	5.1
Median income of patient's ZIP Code	First quartile (lowest income)	138.0	1.5	150.4	2.2	100.1	3.2	227.2	8.2	131.8	2.6
	Second quartile	153.7	1.6	164.9	2.2	105.8	4.8	240.1	7.9	131.4	3.1
	Third quartile	174.9	1.5	180.5	1.9	113.4	5.4	232.0	6.0	153.2	3.4
	Fourth quartile (highest income)	195.2	1.5	194.5	1.9	123.9	6.7	234.7	4.3	166.9	4.3
Location of patient residence	Large central metropolitan	162.5	1.3	179.5	2.2	112.4	3.5	230.3	4.0	138.5	2.2
	Large fringe metropolitan	176.3	1.6	178.4	2.0	105.2	4.9	244.2	5.9	159.6	4.1
	Medium metropolitan	170.5	1.8	186.4	2.3	101.6	5.8	259.6	8.6	134.4	3.8
	Small metropolitan	158.3	2.5	165.9	3.0	96.7	7.7	177.3	16.5	160.9	6.8
	Micropolitan (nonmetro)	152.7	2.4	163.1	2.8	107.3	8.2	180.2	16.4	111.6	6.6
	Noncore (nonmetro)	149.8	3.0	154.8	3.5	91.7	10.2	187.7	44.7	157.4	8.6
Expected payment source	Private insurance	188.7	1.0	193.7	1.3	111.1	4.0	245.1	3.5	139.5	3.2
	Medicare	125.4	14.1	134.8	17.3	*	*	*	*	164.8	46.0
	Medicaid	134.9	1.2	132.4	1.9	104.0	2.9	199.4	6.5	140.3	2.0
	Other insurance	164.1	5.0	179.4	6.3	71.1	14.7	248.6	23.3	141.9	12.9
	Uninsured/self-pay/no charge	159.1	4.1	150.5	7.5	157.7	15.1	203.9	15.8	154.7	5.8
Region of inpatient treatment	Northeast	182.8	2.0	177.2	2.6	131.2	6.9	259.1	7.2	176.9	5.7
	Midwest	185.1	1.6	190.0	1.9	122.6	4.9	267.9	10.5	174.1	7.1
	South	154.4	1.2	164.8	1.7	97.5	3.0	241.0	6.3	149.9	2.6
	West	154.6	1.5	166.4	2.4	97.3	7.3	217.1	4.2	126.0	2.3
Ownership/control of hospital	Private, not for profit	169.9	0.9	178.2	1.2	109.4	2.6	239.1	3.4	141.7	2.1
	Private, for profit	141.7	1.9	160.0	2.8	96.4	5.8	203.6	8.8	118.3	3.1
	Public	167.6	2.3	165.5	3.3	100.3	6.9	225.8	10.2	180.0	4.1
Teaching status of hospital	Teaching	192.8	1.5	204.7	2.1	114.9	3.9	280.2	5.2	174.3	3.1
Teaching status of hospital	Nonteaching	155.0	0.9	165.5	1.2	101.9	2.8	210.2	3.7	129.2	1.9
Location of hospital	Large central metropolitan	163.6	1.2	179.0	2.0	110.9	3.4	229.8	3.8	140.4	2.2
	Large fringe metropolitan	175.1	1.7	176.9	2.2	107.0	5.2	251.1	6.7	152.7	4.6
	Medium metropolitan	172.4	1.8	189.8	2.3	100.2	5.7	259.3	8.6	134.5	3.7
	Small metropolitan	159.4	2.4	165.9	2.8	96.3	7.3	170.2	16.5	169.9	6.7
	Micropolitan (nonmetro)	148.2	2.3	155.7	2.8	109.2	7.8	184.1	16.4	119.9	6.6
	Noncore (nonmetro)	148.0	4.3	152.7	4.9	89.9	15.1	*	*	144.2	12.9
Bed size of hospital	Less than 100	136.0	2.1	147.2	2.5	91.5	8.3	129.6	12.8	104.6	4.9
	100–299	163.0	1.2	170.3	1.6	104.6	3.9	223.6	4.2	140.0	2.4
	300–499	173.3	1.5	191.4	2.1	104.9	3.7	256.8	5.8	146.9	3.1
	500 or more	178.9	1.8	188.8	2.5	117.6	5.0	264.5	7.4	157.6	3.8

^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_3-2: 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_3-2.html