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National Healthcare Disparities Report, 2003

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Racial and Ethnic Differences in Effectiveness of Care: End Stage Renal Disease

Measure Racial Difference[1] Ethnic Difference[2]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Management of End-Stage Renal Disease[3]
Hemodialysis patients with urea reduction ratio 65% or higher Selected population receives worse quality care than the comparison population 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 receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Hemodialysis patients with hemoglobin 11 or higher 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 receives better 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
Renal Transplantation[4]
Dialysis patients registered on the waiting list for transplantation Selected population receives worse quality care than the comparison population Selected population receives better quality care than the comparison population4 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
Patients with treated chronic kidney failure who receive a transplant within 3 years of registration on the waiting list Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population4 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
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 quality 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: CMS's End Stage Renal Disease Clinical Performance Measurement Program, 2001. This source did not collect information for >1 race.

[4] USRDS, 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.

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