Racial segregation and disparities in health care delivery: conceptual model and empirical assessment.

ABSTRACT:

Objective

This study examines two dimensions of racial segregation across hospitals, using a disease for which substantial disparities have been documented.

Data sources

Black (n=32,289) and white (n=244,042) patients 67 years and older admitted for acute myocardial infarction during 2004-2005 in 105 hospital markets were identified from Medicare data. Two measures of segregation were calculated: Dissimilarity (i.e., dissimilar distribution by race across hospitals), and Isolation (i.e., racial isolation within hospitals). For each measure, markets were categorized as having low, medium, or high segregation.

Study design

The relationship of hospital segregation to residential segregation and other market characteristics was evaluated. Cox proportional hazards regressi

SUBMITTER: Sarrazin MS 

PROVIDER: S-EPMC2739036 | biostudies-literature | 2009 Aug

REPOSITORIES: biostudies-literature