Table 6_2_3-2

2010 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_3.2
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries,^a by race/ethnicity, United States, 2007
				Non-Hispanic						Hispanic, all races
		Total		White		Black		API		Hispanic, all races
Population group		Rate	SE	Rate	SE	Rate	SE	Rate	SE	Rate	SE
Total		143.0	0.8	154.3	1.1	93.3	2.2	203.5	2.9	115.8	1.7
Age	10-14	158.0	16.8	124.9	36.8	183.0	27.1	DSU	DSU	135.8	28.2
	15-17	108.9	3.1	113.2	5.2	101.7	6.1	142.7	22.5	105.6	5.2
	18-24	116.7	1.2	123.7	1.7	86.0	2.9	168.7	6.9	113.3	2.3
	25-34	175.7	1.3	189.5	1.6	92.8	4.3	241.3	3.9	124.7	3.0
	35-54	116.3	2.1	124.4	2.7	78.2	7.5	145.9	6.0	72.2	5.2
Median income of patient's ZIP Code	First quartile (lowest income)	121.4	1.4	135.4	2.2	87.4	3.1	206.0	7.3	110.6	2.6
	Second quartile	134.6	1.7	145.3	2.2	86.6	4.8	202.0	7.4	109.3	3.5
	Third quartile	149.8	1.6	160.1	2.1	108.3	5.3	198.8	6.0	114.7	3.7
	Fourth quartile (highest income)	172.3	1.6	173.3	2.1	110.3	6.8	205.5	4.3	144.3	4.6
Location of patient residence	Large central metropolitan	134.8	1.4	154.5	2.4	96.0	3.6	183.8	3.9	110.5	2.4
	Large fringe metropolitan	156.2	1.6	163.8	2.1	102.5	4.3	210.8	6.2	134.6	4.4
	Medium metropolitan	150.6	1.9	164.7	2.5	83.8	6.1	253.1	7.4	107.5	4.0
	Small metropolitan	144.4	2.5	149.2	3.1	97.0	7.3	264.9	14.7	129.3	6.4
	Micropolitan (nonmetropolitan)	129.1	2.4	134.7	2.8	74.8	7.7	180.5	16.2	114.4	6.9
	Noncore (nonmetropolitan)	136.5	3.0	143.6	3.4	73.2	10.0	180.9	32.8	130.6	9.4
Expected payment source	Private	168.2	1.1	174.2	1.3	99.5	4.0	212.4	3.5	124.0	3.4
	Medicare	118.6	10.2	131.7	14.3	DSU	DSU	228.5	59.3	141.8	24.5
	Medicaid	112.1	1.2	114.1	1.9	89.7	2.8	179.4	6.0	109.2	2.1
	Other	142.0	5.3	151.6	6.6	102.4	15.3	209.6	25.2	103.8	14.4
	Uninsured/self-pay/no charge	147.3	4.1	139.2	7.5	113.7	14.5	187.4	13.7	144.8	6.0
Region of inpatient treatment	Northeast	148.7	2.2	151.7	2.8	109.4	7.3	194.0	7.2	122.0	5.5
	Midwest	166.3	1.7	168.6	2.0	99.3	4.7	295.1	10.0	176.8	6.9
	South	133.5	1.3	151.1	1.8	88.5	2.8	210.8	6.2	110.9	2.7
	West	135.4	1.5	141.2	2.4	95.5	7.8	189.1	4.0	110.8	2.5
Ownership/control of hospital	Private, not for profit	149.1	0.9	158.7	1.2	98.7	2.7	205.4	3.3	115.3	2.3
	Private, for profit	115.2	1.9	140.2	2.8	62.8	5.6	152.0	8.6	90.2	3.3
	Public	147.2	2.1	144.3	3.2	99.6	5.6	242.6	8.6	150.5	3.8
Teaching status of hospital	Teaching	155.0	1.5	165.7	2.3	100.4	3.7	205.4	4.4	140.0	3.3
Teaching status of hospital	Nonteaching	138.6	0.9	151.1	1.2	89.4	2.8	202.1	3.9	106.8	2.0
Location of hospital	Large central metropolitan	138.9	1.3	159.7	2.2	98.8	3.4	188.5	3.8	111.0	2.4
	Large fringe metropolitan	149.8	1.7	156.3	2.2	99.0	4.5	196.7	6.7	134.8	4.6
	Medium metropolitan	152.9	1.8	166.0	2.4	81.5	6.0	260.5	7.3	112.6	3.9
	Small metropolitan	145.5	2.4	152.7	2.9	95.4	6.9	264.3	14.7	121.0	6.1
	Micropolitan (nonmetropolitan)	124.6	2.4	130.2	2.8	71.1	7.5	177.9	16.6	111.1	6.8
	Noncore (nonmetropolitan)	140.4	4.1	148.2	4.7	77.8	15.0	132.7	36.5	131.7	12.6
Bed size of hospital	Less than 100	126.0	2.1	132.0	2.5	77.2	8.0	165.2	11.0	102.9	5.1
	100-299	142.3	1.2	150.3	1.7	90.6	3.9	209.1	4.3	114.4	2.6
	300-499	144.9	1.5	168.6	2.2	95.9	3.6	199.4	5.8	110.4	3.1
	500 or more	154.7	1.8	168.5	2.6	98.0	4.5	208.9	6.2	135.0	3.9

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

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, 2007, 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 26 States: Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Massachusetts, Maryland, Michigan, Missouri, New Hampshire, New Jersey, New York, Oklahoma, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

Current as of February 2011

Internet Citation: Table 6_2_3-2: 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_3-2.html