Chapter 2. Quality of Health Care (continued, 6)

National Healthcare Disparities Report, 2009

Summary Tables (continued)

Table 2.2a. Racial and Ethnic Differences in Patient Safety

Core Report Measure	Racial Differenceⁱ					Ethnic Differenceⁱⁱ
Core Report Measure	Black	Asian	NHOPI	AI/AN	More than 1 Race	Hispanic
Health Care-Associated Infections
Adult surgery patients who received appropriate timing of antibioticsⁱⁱⁱ	=	↓		↓		↓
Postoperative Complications
Composite: Adult surgery patients with postoperative complicationsⁱⁱⁱ	=
Other Complications of Hospital Care
Composite: Bloodstream infections or mechanical complications per 1,000 central venous catheter placementsⁱⁱⁱ	=
Deaths per 1,000 discharges following complications of care^iv	=		↓			=
Complications of Medications
Adults age 65 and over who received potentially inappropriate prescription medications^v	=					=

ⁱ Compared with Whites.
ⁱⁱ Compared with non-Hispanic Whites.
ⁱⁱⁱ Source: Medicare Patient Safety Monitoring System, 2007.
^iv Source: HCUP State Inpatient Databases disparities analysis file, 2006. This source categorizes race/ethnicity information as a single item: non-Hispanic White, non-Hispanic Black, Hispanic, Asian and Pacific Islander. These contrasts compare each group with non-Hispanic Whites.
^v Source: Medical Expenditure Panel Survey, 2006. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian and Pacific Islander. This source did not collect information for More than 1 Race.

Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native.

Key to Symbols Used in Quality of Health Care Tables:
= Group and comparison group receive about same quality of health care or have similar outcomes.
↑ Group receives better quality of health care than the comparison group or has better outcomes.
↓ Group receives poorer quality of health care than the comparison group or has worse outcomes.
Blank cell: Reliable estimate for group could not be made.

Table 2.3a. Racial and Ethnic Differences in Timeliness and Patient Centeredness

Core Report Measure	Racial Differenceⁱ					Ethnic Differenceⁱⁱ
Core Report Measure	Black	Asian	NHOPI	AI/AN	More than 1 Race	Hispanic
Timeliness
Adults who sometimes or never got care for illness or injury as soon as wantedⁱⁱⁱ	=	=			=	↓
Emergency department visits in which patients left without being seen^iv	↓	=
Patient Centeredness
Composite: Adults who reported poor provider-patient communicationⁱⁱⁱ	=	↓			=	↓
Composite: Children whose parents reported poor provider-patient communicationⁱⁱⁱ	=	=			=	↓

ⁱ Compared with Whites.
ⁱⁱ Compared with non-Hispanic Whites.
ⁱⁱⁱ Source: Medical Expenditure Panel Survey, 2006. This source did not collect information for More than 1 Race.
^iv Source: National Hospital Ambulatory Medical Care Survey - Emergency Department, 2006-2007. Missing rates preclude analysis by ethnicity.

Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native.

Table 2.3b. Socioeconomic Differences in Timeliness and Patient Centeredness

Core Report Measure	Income Differenceⁱ			Educational Differenceⁱⁱ		Insurance Differenceⁱⁱⁱ
Core Report Measure	<100%	100-199%	200-399%	<HS	HS Grad	Uninsured
Timeliness
Adults who sometimes or never got care for illness or injury as soon as wanted^iv	↓	↓	↑	↓	=	↓
Emergency department visits in which patients left without being seen^v						↓
Patient Centeredness
Composite: Adults who reported poor provider-patient communication^iv	↓	↓	↑	↓	↓	↓
Composite: Children whose parents reported poor provider-patient communication^iv	↓	↓	↑			=

ⁱ Compared with persons with family incomes 400% of Federal poverty thresholds or above.
ⁱⁱ Compared with persons with any college education.
ⁱⁱⁱ Compared with persons under 65 with any private health insurance.
^iv Source: Medical Expenditure Panel Survey, 2006.
^v Source: National Hospital Ambulatory Medical Care Survey - Emergency Department, 2006-2007.

Key: HS=high school.

Proceed to Next Section

Current as of March 2010

Internet Citation: Chapter 2. Quality of Health Care (continued, 6): National Healthcare Disparities Report, 2009. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhdr09/Chap2f.html