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]
Screening for High Cholesterol
Adults who have had their blood cholesterol checked within the preceding 5 years3
Counseling on Risk Factors
Smokers receiving advice to quit smoking[4]		4
Treatment of Acute Myocardial Infarction[5]
AMI patients administered aspirin within 24 hours of admission	*5	5
AMI patients with aspirin prescribed at discharge	*5	5
AMI patients administered beta blocker within 24 hours of admission	*5	5
AMI patients with beta blocker prescribed at discharge	*5	5
AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge	*5	5
AMI patients given smoking cessation counseling while hospitalized	*5	5
Treatment of Acute Heart Failure
Heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge5	*5	5
Management of Hypertension
Adults with hypertension whose blood pressure is under control[6]
Management of Congestive Heart Failure
Hospital admissions for congestive heart failure per 100,000 population[7]

Key to Quality of Health Care Tables : 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 worse quality care than the comparison population : 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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