Table 6_2_3-2a

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_3.2a
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, 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		153.1	0.8	162.4	1.0	108.2	2.2	203.3	2.9	130.2	1.7
Age	10–14	202.3	15.4	220.2	34.1	222.4	23.4	DSU	DSU	162.1	27.0
	15–17	132.2	3.0	134.9	5.1	124.8	6.2	188.9	24.1	132.8	5.1
	18–24	126.3	1.2	134.5	1.6	96.9	2.9	175.4	6.9	120.3	2.3
	25–34	185.7	1.2	196.0	1.6	111.8	4.3	238.2	4.0	144.4	2.9
	35–54	119.2	2.0	124.6	2.5	78.5	7.6	146.2	6.1	85.5	5.1
Median income of patient's ZIP code	First quartile (lowest income)	133.8	1.5	146.6	2.2	101.4	3.2	219.6	8.1	125.7	2.7
	Second quartile	147.3	1.6	159.0	2.1	107.4	4.6	183.2	7.4	127.6	3.2
	Third quartile	154.9	1.5	161.6	1.9	113.6	5.3	197.7	5.8	129.9	3.5
	Fourth quartile (highest income)	178.9	1.6	178.2	2.0	132.2	6.7	208.8	4.4	149.7	4.7
Location of patient residence	Large central metropolitan	147.3	1.3	162.3	2.2	120.1	3.5	172.6	3.9	126.7	2.4
	Large fringe metropolitan	166.4	1.6	173.3	2.1	109.6	4.6	238.4	6.4	138.7	4.3
	Medium metropolitan	159.6	1.7	166.6	2.2	101.6	5.4	257.1	7.1	135.7	3.6
	Small metropolitan	150.0	2.6	156.9	3.1	100.2	8.4	241.1	16.8	127.9	6.5
	Micropolitan (nonmetro)	139.8	2.4	150.8	2.8	84.8	8.0	155.2	18.6	113.5	6.4
	Noncore (nonmetro)	140.2	3.0	146.2	3.4	75.9	10.0	378.2	46.5	146.3	9.0
Expected payment source	Private insurance	176.8	1.0	181.3	1.3	125.7	3.8	213.8	3.5	136.9	3.3
	Medicare	115.3	12.6	117.9	16.7	DSU	DSU	DSU	DSU	138.3	28.4
	Medicaid	122.0	1.2	121.9	1.9	98.5	2.9	177.0	6.3	124.9	2.1
	Other insurance	151.6	4.8	168.2	6.1	102.8	13.4	182.5	21.5	115.8	12.9
	Uninsured/self-pay/no charge	152.7	4.2	134.9	7.5	115.8	14.8	171.3	14.3	158.6	6.3
Region of inpatient treatment	Northeast	169.2	2.0	171.3	2.6	123.0	6.5	227.8	7.6	150.8	5.8
	Midwest	169.4	1.7	172.7	1.9	123.8	4.8	288.2	10.5	132.6	6.8
	South	145.7	1.2	155.1	1.7	100.0	2.9	216.5	6.5	137.8	2.8
	West	142.7	1.4	153.7	2.2	104.7	7.3	180.2	3.9	121.4	2.3
Ownership/control of hospital	Private, not for profit	157.8	0.9	166.1	1.2	110.1	2.7	218.3	3.5	129.5	2.2
	Private, for profit	130.6	1.8	147.3	2.7	93.8	5.4	140.4	8.0	112.1	3.3
	Public	157.8	2.1	157.4	3.1	116.4	6.0	190.7	7.5	160.3	4.0
Teaching status	Teaching	172.0	1.4	183.1	2.0	121.5	3.5	226.9	4.7	153.2	3.1
Teaching status	Nonteaching	145.1	0.9	155.2	1.2	98.9	2.9	188.2	3.8	121.0	2.0
Location of hospital	Large central metropolitan	149.3	1.3	166.7	2.0	114.7	3.5	174.4	3.9	127.2	2.3
	Large fringe metropolitan	165.5	1.7	169.4	2.2	116.7	4.7	240.9	6.8	142.6	4.9
	Medium metropolitan	159.4	1.6	165.7	2.1	100.5	5.2	257.8	7.1	136.9	3.6
	Small metropolitan	151.1	2.5	157.8	3.0	100.6	8.1	236.2	17.0	128.8	6.4
	Micropolitan (nonmetro)	136.1	2.3	148.8	2.7	86.7	7.5	152.2	19.1	105.9	6.2
	Noncore (nonmetro)	140.9	4.1	143.4	4.7	75.5	14.7	546.8	67.0	158.2	12.2
Bed size of hospital	Less than 100	134.6	2.1	144.4	2.4	77.8	8.5	158.7	12.5	102.9	5.0
	100–299	150.3	1.2	160.6	1.6	100.1	3.7	188.1	4.1	129.5	2.6
	300–499	152.3	1.4	165.5	2.0	111.8	3.8	216.2	5.9	121.4	3.1
	500 or more	174.9	1.8	180.8	2.5	125.3	4.7	243.9	7.0	164.1	4.0

^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_3-2a: 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_3-2a.html