Relationship Between Hospital Team Segregation Index, Heart Failure, and Ischemic Heart Disease.

ABSTRACT:

Background

The extent of structural racism in cardiovascular care is not well studied.

Objectives

The purpose of this study was to determine whether hospital segregation index (SI) (degree of dissimilarity between teams caring for Black vs White patients) is associated with receipt of a cardiologist's care, readmission up to 30 days, and 1-year survival for Black vs White patients admitted with heart failure (HF) or ischemic heart disease (IHD).

Methods

Using Optum's Clinformatics Data Mart, we examined the effect of hospital SI on Black and White patients admitted with primary diagnoses of HF or IHD from 2010 to 2018 using mixed effects models. Hospitals were grouped by SI tertile.

Results

Overall, 119,272 patients (29.4% Black, 70.6% White) with HF and 183,16

SUBMITTER: Johnson A 

PROVIDER: S-EPMC12301724 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature