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National Healthcare Disparities Report, 2003

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Racial and Ethnic Differences in Effectiveness of Care: Respiratory Diseases

Measure Racial Difference[1] Ethnic Difference[2]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Influenza Immunization
High risk persons 18-64 who received influenza vaccine in past year[3] 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 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
People 65 and over who received influenza vaccine in the past year3 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 Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Adult nursing home residents who received influenza vaccine in past year[4] Selected population and comparison population receive about same quality of health care 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      
Hospital admissions for influenza per 100,000 population 65 and over[5] *5 Selected population receives better quality care than the comparison population5     Selected population and comparison population receive about same quality of health care Selected population receives better quality care than the comparison population
Pneumococcal Immunization
High risk persons 18-64 who ever received pneumococcal vaccination3 Selected population and comparison population receive about same quality of health care 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 Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population
People 65 and over who ever received pneumococcal vaccination3 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 Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Adult nursing home residents who ever received pneumococcal vaccination4 Selected population and comparison population receive about same quality of health care 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      
Treatment of Pneumonia[6]
Pneumonia patients who have blood cultures taken before antibiotics *6 Selected population and comparison population receive about same quality of health care6 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
Pneumonia patients who receive initial antibiotic dose within 8 hours of arrival *6 Selected population and comparison population receive about same quality of health care6 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
Pneumonia patients who receive initial antibiotic consistent with current recommendations *6 Selected population and comparison population receive about same quality of health care6 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
Pneumonia patients who receive influenza screening or vaccination *6 Selected population and comparison population receive about same quality of health care6 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
Pneumonia patients who receive pneumococcal screening or vaccination *6 Selected population receives worse quality care than the comparison population6 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
Treatment of Upper Respiratory Infection
Courses of antibiotics prescribed for sole diagnosis of common cold per population[7] Selected population and comparison population receive about same quality of health care 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      
Management of Asthma
Hospital admissions for asthma per 100,000 population under 18[8] 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      
Hospital admissions for asthma per 100,000 population 18 and over8 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      
Treatment of Tuberculosis
Completion of TB Therapy[9] Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care9     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
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, 2000.

[4] Source: NNHS, 1999. This source did not collect information for >1 race. Missing rates preclude analysis by ethnicity

[5] Source: HCUP SID 16 state database, 2000. 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: 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.

[7] Source: NAMCS/NHAMCS, 1999-2000. This source did not collect information for >1 race. Missing rates preclude analysis by ethnicity.

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

[9] Source: CDC's National TB Surveillance System, 1999. 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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