Table 6_2_2-1 2010 National Healthcare Quality and Disparities ReportsThe 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_2.1Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance,a United States, 2000, 2004-2007 20072006200520042000Population groupRateSERateSERateSERateSERateSETotal 32.30.136.20.140.10.140.40.151.70.1Age10-1464.74.170.54.161.53.886.93.998.23.415-1746.40.748.00.859.10.853.80.868.50.718-2430.70.235.10.238.90.237.70.248.30.225-3434.80.238.80.242.30.244.20.255.90.235-5423.50.325.90.329.70.329.20.339.50.3Median income of patient's ZIP CodeFirst quartile (lowest income)28.80.230.50.233.10.233.50.244.50.2Second quartile30.30.233.60.238.60.238.70.348.70.2Third quartile33.50.339.00.343.20.343.90.353.60.3Fourth quartile (highest income)38.20.344.00.347.40.346.90.360.00.2Location of patient residenceLarge central metropolitan32.00.236.70.241.20.238.20.251.80.2Large fringe metropolitan35.50.238.90.343.10.342.70.354.80.2Medium metropolitan29.80.336.10.339.20.342.60.352.10.3Small metropolitan31.10.434.00.436.40.442.20.452.30.4Micropolitan (nonmetropolitan)31.30.433.30.437.10.436.70.444.00.4Noncore (nonmetropolitan)32.20.531.80.535.50.539.40.545.90.5Expected payment sourcePrivate insurance38.30.243.00.246.10.247.30.258.80.2Medicare26.51.334.02.137.21.927.62.333.41.8Medicaid26.00.229.10.234.00.232.10.241.50.2Other insurance34.20.739.10.836.50.845.20.851.20.8Uninsured/self-pay/no charge30.90.633.10.636.30.634.00.744.30.6Region of inpatient treatmentNortheast30.10.334.00.336.00.339.30.355.30.3Midwest35.80.340.30.344.40.346.40.354.60.3South33.00.234.90.239.30.239.10.250.60.2West29.60.335.70.240.70.338.00.247.90.3Ownership/control of hospitalPrivate, not for profit32.80.137.10.140.90.242.80.153.90.1Private, for profit30.40.331.80.336.20.332.30.344.00.4Public31.80.336.10.340.30.334.90.346.50.3Teaching status of hospitalTeaching32.00.237.60.244.80.243.70.257.10.2Nonteaching32.60.235.50.237.70.238.70.249.10.1Location of hospitalLarge central metropolitan32.50.236.80.241.80.238.70.251.90.2Large fringe metropolitan35.50.339.10.342.30.342.90.354.80.3Medium metropolitan29.90.336.40.338.90.342.80.352.10.3Small metropolitan32.00.433.60.437.80.443.30.453.50.4Micropolitan (nonmetropolitan)30.90.431.70.436.90.433.90.441.30.4Noncore (nonmetropolitan)30.00.830.90.830.00.736.30.743.90.7Bed size of hospitalLess than 10030.10.431.80.433.30.436.10.444.30.4100-29931.40.234.50.239.90.238.20.249.60.2300-49934.80.238.80.240.70.245.60.254.40.2500 or more31.80.237.80.343.60.340.40.356.10.3a Rates are adjusted by age and comorbidities.�� When reporting is by age, the adjustment is only by comorbidities.Key: SE: standard error.Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, version 3.1. Current as of February 2011 Internet Citation: Table 6_2_2-1: 2010 National Healthcare Quality and Disparities Reports. February 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr10/6_maternalchildhealth/T6_2_2-1.html