Table 6_2_4-2a

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_4.2a
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean 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		3.67	0.15	3.96	0.18	3.68	0.28	4.48	0.59	2.88	0.19
Age	10–14	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	15–17	2.16	0.45	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	18–24	2.56	0.20	2.74	0.26	2.58	0.36	DSU	DSU	2.11	0.25
	25–34	3.83	0.17	4.00	0.21	4.51	0.41	4.05	0.57	3.10	0.25
	35–54	4.97	0.27	5.29	0.35	4.46	0.64	5.51	1.02	3.93	0.44
Median income of patient's ZIP code	First quartile (lowest income)	3.23	0.21	3.13	0.28	3.87	0.40	DSU	DSU	2.74	0.30
	Second quartile	3.52	0.24	3.91	0.34	3.74	0.50	DSU	DSU	2.70	0.27
	Third quartile	3.83	0.20	4.22	0.26	2.91	0.49	5.30	1.14	2.94	0.33
	Fourth quartile (highest income)	4.18	0.24	4.31	0.29	4.02	0.63	4.67	0.70	3.51	0.47
Location of patient residence	Large central metropolitan	3.57	0.25	4.09	0.39	3.98	0.43	2.95	0.48	2.85	0.27
	Large fringe metropolitan	3.73	0.22	3.97	0.27	3.22	0.40	6.03	1.14	3.08	0.43
	Medium metropolitan	3.91	0.32	4.09	0.34	4.20	0.81	7.77	1.46	2.83	0.38
	Small metropolitan	4.08	0.66	4.33	0.70	DSU	DSU	DSU	DSU	3.65	0.95
	Micropolitan (nonmetro)	3.25	0.31	3.44	0.37	DSU	DSU	DSU	DSU	2.34	0.61
	Noncore (nonmetro)	3.30	0.39	3.51	0.47	DSU	DSU	DSU	DSU	DSU	DSU
Expected payment source	Private insurance	4.07	0.18	4.25	0.20	3.85	0.38	4.61	0.68	3.27	0.30
	Medicare	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	Medicaid	3.18	0.18	3.36	0.26	3.55	0.35	4.25	0.89	2.66	0.21
	Other insurance	3.54	0.63	3.44	0.66	DSU	DSU	DSU	DSU	DSU	DSU
	Uninsured/self-pay/no charge	3.04	0.57	2.54	0.73	DSU	DSU	DSU	DSU	3.48	0.78
Region of inpatient treatment	Northeast	4.43	0.44	4.43	0.46	4.23	0.77	4.42	1.02	4.39	0.87
	Midwest	4.49	0.47	4.31	0.43	4.88	0.94	DSU	DSU	5.36	1.28
	South	3.23	0.18	3.66	0.24	3.24	0.31	3.94	0.88	2.27	0.25
	West	3.25	0.23	3.54	0.33	2.87	0.62	4.56	0.94	2.79	0.23
Ownership/control of hospital	Private, not for profit	3.97	0.19	4.21	0.22	4.00	0.38	4.93	0.74	3.08	0.25
	Private, for profit	2.53	0.21	2.94	0.29	2.78	0.45	2.36	0.70	1.78	0.29
	Public	3.47	0.32	3.51	0.47	3.16	0.56	4.22	1.26	3.48	0.43
Teaching status	Teaching	4.88	0.35	5.09	0.42	4.52	0.53	6.87	1.15	4.28	0.44
Teaching status	Nonteaching	3.10	0.14	3.48	0.19	3.05	0.28	2.97	0.47	2.27	0.18
Location of hospital	Large central metropolitan	3.71	0.26	4.18	0.38	4.09	0.45	3.39	0.52	2.96	0.27
	Large fringe metropolitan	3.49	0.24	3.73	0.27	3.03	0.46	5.35	1.16	2.87	0.47
	Medium metropolitan	4.08	0.35	4.41	0.38	4.25	0.82	8.16	1.66	2.71	0.38
	Small metropolitan	3.89	0.80	4.00	0.85	DSU	DSU	DSU	DSU	3.53	0.95
	Micropolitan (nonmetro)	2.93	0.31	3.19	0.37	DSU	DSU	DSU	DSU	2.04	0.61
	Noncore (nonmetro)	3.07	0.56	3.22	0.66	DSU	DSU	DSU	DSU	DSU	DSU
Bed size of hospital	Less than 100	2.66	0.23	2.89	0.30	DSU	DSU	DSU	DSU	2.19	0.44
	100–299	3.19	0.18	3.41	0.23	3.38	0.40	4.10	0.94	2.22	0.21
	300–499	3.77	0.22	4.02	0.26	3.78	0.45	5.57	1.15	2.94	0.36
	500 or more	4.84	0.50	5.58	0.62	4.24	0.73	4.90	1.13	4.12	0.57

^a Rates are observed rates and are not adjusted for age or severity.

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_4-2a: 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_4-2a.html