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National Healthcare Disparities Report, 2003

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Racial and Ethnic Differences in Effectiveness of Care: Heart Disease

Measure Racial Difference[1] Ethnic Difference[2]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Screening for High Blood Pressure
Adults who have had their blood pressure measured within the preceding 2 years and can state whether their blood pressure was normal or high[3] Selected population receives better 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 Data are collected but do not meet criteria for statistical reliability Selected population receives better quality care than the comparison population Selected population receives worse quality care than the comparison population
Screening for High Cholesterol
Adults who have had their blood cholesterol checked within the preceding 5 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 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 receives worse quality care than the comparison population
Counseling on Risk Factors
Smokers receiving advice to quit smoking[4] Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability4 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
Treatment of Acute Myocardial Infarction[5]
AMI patients administered aspirin within 24 hours of admission *5 Selected population and comparison population receive about same quality of health care5 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
AMI patients with aspirin prescribed at discharge *5 Selected population and comparison population receive about same quality of health care5 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
AMI patients administered beta blocker within 24 hours of admission *5 Selected population and comparison population receive about same quality of health care5 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
AMI patients with beta blocker prescribed at discharge *5 Data are collected but do not meet criteria for statistical reliability5 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
AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge *5 Data are collected but do not meet criteria for statistical reliability5 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
AMI patients given smoking cessation counseling while hospitalized *5 Data are collected but do not meet criteria for statistical reliability5 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
Treatment of Acute Heart Failure
Heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge5 *5 Selected population and comparison population receive about same quality of health care5 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
Management of Hypertension
Adults with hypertension whose blood pressure is under control[6] Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability   Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability
Management of Congestive Heart Failure
Hospital admissions for congestive heart failure per 100,000 population[7] 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 Data are collected but do not meet criteria for statistical reliability      
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: NHIS, 1998.

[4] Source: MEPS, 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.

[5] Source: Medicare Quality Improvement Organization program. This source categorizes race/ethnicity very differently from other sources. Race/ethnicity information is categorized as a single item: Non-Hispanic white, Non-Hispanic black, Hispanic, Asian or Pacific Islander. These contrasts compare each group with non-Hispanic whites. An * is inserted in the Black column to indicate that estimates for this group could not be produced.

[6] Source: NHANES, 1999-2000.

[7] Source: NHDS, 2000. This source did not collect information for >1 race. Missing rates preclude analysis by ethnicity.

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