Measuring hospital-specific disparities by dual eligibility and race to reduce health inequities.

ABSTRACT:

Objective

To propose and evaluate a metric for quantifying hospital-specific disparities in health outcomes that can be used by patients and hospitals.

Data sources/study setting

Inpatient admissions for Medicare patients with acute myocardial infarction, heart failure, or pneumonia to all non-federal, short-term, acute care hospitals during 2012-2015.

Study design

Building on the current Centers for Medicare and Medicaid Services methodology for calculating risk-standardized readmission rates, we developed models that include a hospital-specific random coefficient for either patient dual eligibility status or African American race. These coefficients quantify the difference in risk-standardized outcomes by dual eligibility and race at a given hospital after accountin

SUBMITTER: Lloren A 

PROVIDER: S-EPMC6341208 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature