T6_2_2_2

2011 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_2.2
Obstetric traumaa per 1,000 vaginal deliveries without instrument assistance,b by race/ethnicity, United States, 2008
    Non-Hispanic  
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
Total 23.50.325.90.313.30.440.71.218.40.4
Age10-1439.85.0DSUDSU34.77.4DSUDSU48.48.1
15-1729.11.027.91.627.32.121.35.831.11.6
18-2421.00.423.00.513.90.633.92.420.80.8
25-3425.70.529.00.611.80.648.81.916.80.6
35-5419.70.520.70.712.31.333.02.114.10.8
Median income of patient's ZIP CodeFirst quartile (lowest income)18.90.323.00.510.90.540.32.717.20.5
Second quartile21.90.423.90.512.90.739.02.417.60.6
Third quartile25.60.426.90.515.90.942.22.020.10.7
Fourth quartile (highest income)29.20.530.00.719.11.341.62.320.70.8
Location of patient residenceLarge central metropolitan22.90.427.20.612.30.543.12.118.50.6
Large fringe metropolitan25.60.527.50.616.00.844.52.519.10.7
Medium metropolitan23.30.524.90.712.71.036.82.318.60.8
Small metropolitan22.30.725.20.910.91.131.34.015.91.3
Micropolitan21.70.622.40.711.91.433.84.618.81.4
Noncore22.40.723.80.811.11.9DSUDSU16.11.8
Expected payment sourcePrivate insurance30.20.431.90.517.20.744.51.820.90.7
Medicare14.52.215.52.7DSUDSUDSUDSUDSUDSU
Medicaid15.90.314.80.311.00.433.31.817.20.4
Other insurance23.61.226.51.513.32.434.86.815.62.1
Uninsured/self-pay/no charge20.00.718.41.312.91.841.25.619.11.0
Region of inpatient treatmentNortheast24.60.625.20.717.21.344.23.019.00.9
Midwest24.70.627.60.611.00.741.33.216.01.1
South23.20.426.20.613.40.550.12.719.30.6
West22.30.523.20.612.00.936.21.717.90.6
Ownership/control of hospitalPrivate, not for profit23.90.325.90.413.40.539.21.418.60.5
Private, for profit21.30.625.10.811.80.946.73.815.50.7
Public23.30.625.60.813.70.944.63.420.40.8
Teaching status of hospitalTeaching24.80.527.10.714.80.744.52.021.10.6
Nonteaching22.90.325.40.412.10.438.31.516.90.4
Location of hospitalLarge central metropolitan23.20.427.40.712.90.643.32.018.40.6
Large fringe metropolitan25.20.626.90.715.30.843.52.719.70.8
Medium metropolitan23.50.525.10.712.61.037.52.218.50.8
Small metropolitan22.90.725.70.910.91.132.94.416.91.3
Micropolitan20.20.621.10.710.31.332.24.416.61.4
Noncore24.01.225.51.413.63.1DSUDSU16.32.5
Bed size of hospitalLess than 10022.10.623.20.711.31.425.92.816.71.0
100-29923.00.425.50.512.10.635.31.817.90.6
300-49923.40.525.90.613.60.647.62.617.40.7
500 or more25.10.628.40.814.10.848.42.720.90.8

a. Consistent with the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software, obstetric trauma must involve 3rd or 4th degree lacerations.

b. Rates are adjusted by age using U.S. hospitalizations for 2000 as the U.S. standard population. When reporting is by age, there is no adjustment.

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, modified version 4.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Missouri, New Hampshire, New Jersey, Nevada, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

 

Current as of March 2012
Internet Citation: T6_2_2_2: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/6_maternalchildhealth/T6_2_2_2.html