Race and Ethnicity, Medical Insurance, and Within-Hospital Severe Maternal Morbidity Disparities.

ABSTRACT:

Objective

To examine within-hospital racial and ethnic disparities in severe maternal morbidity rates and determine whether they are associated with differences in types of medical insurance.

Methods

We conducted a population-based, cross-sectional study using linked 2010-2014 New York City discharge and birth certificate data sets (N=591,455 deliveries) to examine within-hospital black-white, Latina-white, and Medicaid-commercially insured differences in severe maternal morbidity. We used logistic regression to produce risk-adjusted rates of severe maternal morbidity for patients with commercial and Medicaid insurance and for black, Latina, and white patients within each hospital. We compared these within-hospital adjusted rates using paired t-tests and conditional logit mo

SUBMITTER: Howell EA 

PROVIDER: S-EPMC7117864 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature