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National Healthcare Disparities Report, 2003

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Racial and Ethnic Differences in Effectiveness of Care: Cancer

Measure Racial Difference[1] Ethnic Difference[2]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Screening for Breast Cancer
Women (40 and over) who report they had a mammogram within the past 2 years[3] Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population Data are collected but do not meet criteria for statistical reliability Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Breast cancers diagnosed at late stage[4] Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population   Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Screening for Cervical Cancer
Women (18 and over) who report they had a Pap smear within the past 3 years3 Selected population receives better qaulity care than the comparison population Selected population receives worse quality care than the comparison population Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population
Cervical cancers diagnosed at late stage4 Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Screening for Colorectal Cancer
Men and women (50 and over) who report they ever had a flexible sigmoidoscopy/colonoscopy3 Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Men and women (50 and over) who report they had a fecal occult blood test (FOBT) within the past 2 years3 Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Colorectal cancers diagnosed at late stage4 Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care   Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Cancer Treatment[5]
Cancer deaths per 100,000 persons per year for all cancers Selected population receives worse quality care than the comparison population Selected population receives better qaulity care than the comparison population5 Selected population receives better qaulity care than the comparison population   Selected population receives worse quality care than the comparison population Selected population receives better qaulity care than the comparison population
Cancer deaths per 100,000 persons per year for most common cancers, prostate cancer Selected population receives worse quality care than the comparison population Selected population receives better qaulity care than the comparison population5 Selected population receives better qaulity care than the comparison population   Selected population receives worse quality care than the comparison population Selected population receives better qaulity care than the comparison population
Cancer deaths per 100,000 persons per year for most common cancers, breast cancer Selected population receives worse quality care than the comparison population Selected population receives better qaulity care than the comparison population5 Selected population receives better qaulity care than the comparison population   Selected population receives worse quality care than the comparison population Selected population receives better qaulity care than the comparison population
Cancer deaths per 100,000 persons per year for most common cancers, lung cancer Selected population receives worse quality care than the comparison population Selected population receives better qaulity care than the comparison population5 Selected population receives better qaulity care than the comparison population   Selected population receives worse quality care than the comparison population Selected population receives better qaulity care than the comparison population
Cancer deaths per 100,000 persons per year for most common cancers, colorectal cancer Selected population receives worse quality care than the comparison population Selected population receives better qaulity care than the comparison population5 Selected population receives better qaulity care than the comparison population   Selected population receives worse quality care than the comparison population Selected population receives better qaulity care than the comparison population
Palliative Care[6]
Persons who died of cancer who died in hospice Selected population and comparison population receive about same quality of health care6            
Median length of stay for cancer patients who received hospice care Selected population and comparison population receive about same quality of health care6            
Key to Quality of Health Care Tables
Selected population and comparison population receive about same quality of health care: Selected population and comparison population receive about same quality of health care
Selected population receives better qaulity care than the comparison population: Selected population receives better quality care than the comparison population
Selected population receives worse quality care than the comparison population: Selected population receives worse quality care than the comparison population
Data are collected but do not meet criteria for statistical reliability: Data are collected but do not meet criteria for statistical reliability

[1] Compared with whites.

[2] Compared with non-Hispanic whites.

[3] Source: NHIS, 2000.

[4] Source: SEER, 1998-1999. This source did not collect information for >1 race.

[5] Source: NVSS-M, 2000. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian or Pacific Islander. This source did not collect information for >1 race.

[6] Source: NHHCS, 2000. Sample size constraints permit black-white comparisons only.

 

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