Table 21_1_5-1a

2009 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 21_1_5.1a
Admissions with perforated appendix per 1,000 admissions with appendicitis (excluding transfers from other institutions, obstetric admissions, normal newborns, and neonates), ages 1–17, by race/ethnicity, United States, 2006
				Non-Hispanic
		Total		White		Black		API		Hispanic, all races
Population group		Rate^a	SE	Rate^a	SE	Rate^a	SE	Rate^a	SE	Rate^a	SE
Total		307.0	3.5	276.1	3.9	365.3	11.4	329.3	17.7	344.5	6.4
Age	1–4	649.4	13.5	602.2	21.3	628.8	51.6	787.6	67.5	677.4	18.0
	5–9	356.2	7.5	308.7	8.3	399.7	24.7	366.4	33.1	405.9	12.0
	10–14	293.8	5.8	261.1	6.0	383.5	18.0	350.5	31.5	337.1	10.7
	15–17	224.5	5.4	215.6	6.4	259.2	18.0	183.8	25.0	241.1	11.4
Gender	Male	307.6	4.6	280.3	5.0	358.8	14.2	305.2	21.9	340.9	8.0
Gender	Female	306.7	5.5	270.5	6.2	375.8	18.7	366.1	29.4	349.9	10.6
Median income of patient's ZIP code	First quartile (lowest income)	337.1	6.2	287.7	8.4	370.8	16.1	410.3	46.9	368.2	9.0
	Second quartile	317.8	6.1	292.2	7.6	354.7	23.6	367.8	39.0	342.4	10.6
	Third quartile	301.9	5.9	276.0	7.1	366.7	25.4	311.2	34.8	337.1	11.0
	Fourth quartile (highest income)	268.5	5.8	257.8	6.6	351.9	29.8	280.9	25.4	286.8	13.2
Location of patient residence	Large central metropolitan	328.4	6.3	285.1	8.0	367.2	16.7	336.8	26.5	354.1	9.0
	Large fringe metropolitan	292.0	6.8	272.7	7.3	342.9	22.9	312.2	37.0	330.2	13.9
	Medium metropolitan	303.4	7.1	275.0	8.1	348.6	27.4	342.0	41.3	335.2	14.3
	Small metropolitan	305.6	11.4	290.0	12.8	373.2	41.3	409.2	73.2	316.9	22.1
	Micropolitan (nonmetro)	274.7	8.8	259.3	10.1	397.9	46.0	216.8	46.5	331.8	21.6
	Noncore (nonmetro)	304.8	11.3	281.8	12.3	476.9	53.8	DSU	DSU	362.7	34.3
Expected payment source	Private insurance	282.0	4.0	268.9	4.5	358.5	16.6	301.1	21.9	303.4	9.0
	Medicare	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	Medicaid	345.9	5.6	295.2	8.1	375.1	15.9	392.3	29.8	370.1	8.0
	Other insurance	293.2	13.1	288.4	19.4	328.2	59.9	300.3	85.6	311.7	22.3
	Uninsured/self-pay/no charge	338.5	11.3	304.5	17.7	354.7	40.9	288.1	64.0	373.8	16.8
Region of inpatient treatment	Northeast	259.5	6.9	247.7	8.1	313.5	23.2	290.3	41.0	274.3	15.0
	Midwest	298.7	7.2	284.2	8.0	356.7	27.4	479.6	70.7	367.7	24.8
	South	313.2	6.2	280.5	6.8	393.4	16.2	356.2	36.8	333.6	11.2
	West	333.1	6.7	290.3	8.3	361.0	30.3	309.8	22.8	365.9	8.9
Ownership/control of hospital	Private, not for profit	308.6	4.1	281.3	4.3	361.6	13.3	335.4	20.7	343.7	7.8
	Private, for profit	290.5	9.3	229.2	11.9	375.3	39.8	260.8	50.5	343.2	14.6
	Public	311.5	9.6	276.5	12.4	380.2	25.8	316.9	43.4	347.0	16.4
Teaching status	Teaching	347.7	6.2	313.6	6.9	388.0	15.4	389.8	27.0	379.9	10.8
Teaching status	Nonteaching	281.4	3.9	256.3	4.6	338.2	15.5	272.4	22.0	318.3	7.3
Location of hospital	Large central metropolitan	335.4	6.0	303.4	7.5	381.8	16.4	342.5	25.3	355.9	8.9
	Large fringe metropolitan	278.0	7.9	254.5	8.2	331.7	24.2	297.5	41.2	320.1	15.1
	Medium metropolitan	296.7	6.6	272.8	8.3	362.4	27.0	310.2	36.5	325.9	12.7
	Small metropolitan	323.8	13.6	295.4	12.3	388.9	39.1	484.4	69.2	364.0	24.0
	Micropolitan (nonmetro)	258.3	8.5	242.6	9.7	390.1	44.3	228.7	50.2	299.0	20.9
	Noncore (nonmetro)	283.3	15.3	267.6	15.8	378.1	72.7	DSU	DSU	345.5	53.5
Bed size of hospital	Less than 100	280.5	8.0	260.5	8.6	390.2	50.1	290.0	70.3	339.9	21.2
	100–299	299.2	5.2	261.2	5.8	369.3	17.8	310.1	23.3	340.6	8.8
	300–499	304.3	8.3	265.3	8.2	346.1	19.6	331.0	43.8	354.5	14.0
	500 or more	342.4	8.1	330.1	9.7	380.8	22.5	386.9	39.6	343.5	14.7

^a Rates are adjusted by age and gender using the total U.S. population for 2000 as the standard population.

DSU - 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 (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2006, and AHRQ Quality Indicators, version 3.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 25 States: AR, AZ, CA, CO, CT, FL, GA, HI, KS, MA, MD, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, UT, VA, VT, and WI.

Current as of March 2010

Internet Citation: Table 21_1_5-1a: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/18_populations/T21_1_5-1a.html