Table 6_2_2-2a

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 6_2_2.2a
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance, 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		35.9	0.1	39.1	0.2	26.1	0.3	57.4	0.6	30.1	0.2
Age	10–14	66.4	4.1	90.2	9.0	59.5	6.5	145.5	38.1	58.5	6.8
	15–17	49.6	0.7	52.0	1.3	46.4	1.5	88.8	5.4	47.0	1.2
	18–24	35.0	0.2	37.3	0.3	28.6	0.5	54.8	1.3	33.2	0.4
	25–34	38.3	0.2	42.5	0.2	22.0	0.5	62.8	0.8	28.0	0.4
	35–54	25.5	0.3	27.4	0.4	17.7	1.0	37.7	1.1	18.4	0.7
Median income of patient's ZIP code	First quartile (lowest income)	31.0	0.2	35.7	0.4	24.8	0.5	51.4	1.5	28.3	0.4
	Second quartile	33.3	0.3	35.4	0.3	26.0	0.7	54.7	1.4	29.5	0.5
	Third quartile	38.4	0.2	40.5	0.3	26.7	0.8	57.3	1.2	32.6	0.5
	Fourth quartile (highest income)	43.0	0.3	43.4	0.3	31.9	1.0	60.8	0.9	32.6	0.7
Location of patient residence	Large central metropolitan	36.1	0.2	42.9	0.4	25.9	0.5	53.0	0.8	31.0	0.4
	Large fringe metropolitan	38.2	0.3	41.7	0.3	25.7	0.7	59.5	1.3	30.9	0.6
	Medium metropolitan	35.7	0.3	37.2	0.4	24.9	0.8	73.0	1.3	29.2	0.5
	Small metropolitan	35.2	0.4	37.8	0.5	30.5	1.3	43.3	3.1	26.7	1.0
	Micropolitan (nonmetro)	33.0	0.4	34.6	0.5	29.0	1.4	40.7	2.6	26.4	1.1
	Noncore (nonmetro)	32.6	0.5	34.0	0.6	24.7	1.8	DSU	DSU	29.7	1.6
Expected payment source	Private insurance	43.1	0.2	44.6	0.2	30.4	0.6	61.3	0.7	33.1	0.5
	Medicare	32.8	2.0	37.8	2.7	14.1	4.2	DSU	DSU	40.3	4.8
	Medicaid	28.7	0.2	29.2	0.3	23.9	0.4	49.2	1.1	28.6	0.3
	Other insurance	34.6	0.8	35.4	1.0	26.8	2.3	55.8	4.5	30.2	2.0
	Uninsured/self-pay/no charge	33.0	0.6	30.3	1.1	27.5	1.8	48.5	3.1	33.2	0.9
Region of inpatient treatment	Northeast	34.5	0.3	35.8	0.4	24.0	0.8	60.5	1.4	29.5	0.7
	Midwest	38.6	0.3	41.9	0.3	25.6	0.7	56.2	1.8	28.8	1.0
	South	36.4	0.2	39.8	0.3	26.9	0.4	61.1	1.4	33.4	0.4
	West	34.0	0.2	36.5	0.4	27.1	1.1	55.3	0.8	27.6	0.4
Ownership/control of hospital	Private, not for profit	37.0	0.1	40.0	0.2	26.5	0.4	58.5	0.7	29.8	0.3
	Private, for profit	32.1	0.3	35.0	0.5	26.2	0.9	44.1	1.9	28.1	0.6
	Public	34.3	0.3	37.3	0.5	24.3	0.8	60.5	1.6	32.5	0.5
Teaching status	Teaching	38.6	0.2	41.7	0.3	26.7	0.5	66.3	0.9	34.2	0.4
Teaching status	Nonteaching	34.7	0.2	38.1	0.2	25.6	0.4	50.6	0.8	27.9	0.3
Location of hospital	Large central metropolitan	36.5	0.2	42.6	0.3	25.8	0.5	52.9	0.8	31.4	0.3
	Large fringe metropolitan	38.0	0.3	41.8	0.4	26.0	0.7	61.5	1.4	29.9	0.7
	Medium metropolitan	35.7	0.3	37.2	0.3	25.2	0.8	71.3	1.3	29.2	0.5
	Small metropolitan	35.7	0.4	38.6	0.5	31.3	1.3	44.4	3.2	25.3	1.0
	Micropolitan (nonmetro)	32.1	0.4	33.2	0.5	29.4	1.4	40.3	2.6	27.3	1.1
	Noncore (nonmetro)	29.3	0.8	32.0	0.9	14.2	2.6	DSU	DSU	25.3	2.3
Bed size of hospital	Less than 100	31.8	0.4	33.3	0.4	23.9	1.5	42.0	2.5	25.8	0.9
	100–299	35.8	0.2	38.7	0.3	26.0	0.6	58.8	0.8	28.6	0.4
	300–499	35.1	0.2	39.9	0.3	25.1	0.5	54.0	1.2	29.0	0.5
	500 or more	39.4	0.3	43.4	0.4	27.8	0.6	62.0	1.4	35.2	0.5

^a Rates are adjusted by age and comorbidities. When reporting is by age, the adjustment is by comorbidities only.

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 6_2_2-2a: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/6_maternalchildhealth/T6_2_2-2a.html