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National Healthcare Disparities Report, 2004

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Summary Measure of Quality of Health Care

In the 2004 NHDR, efforts to summarize disparities in quality of health care have been refined. In the Highlights and in Chapter 4, Priority Populations, a subset of quality measures for which comparable data are available for 2000 and 2001 are highlighted. This subset consists of 38 measures of effectiveness of health care. Measures of mortality are not included to allow focus on quality measures more directly related to health care. Data sources are the Surveillance, Epidemiology, and End Results (SEER) program, U.S. Renal Data System (USRDS), Medical Expenditure Panel Survey (MEPS), the Centers for Disease Control and Prevention (CDC) AIDS Surveillance System, National Vital Statistics System-Natality (NVSS-N), National Immunization Survey (NIS), National Health Interview Survey (NHIS), and National Hospital Discharge Survey (NHDS).

For each measure, racial, ethnic, and socioeconomic groups are compared with an appropriate comparison group; each group could receive care that is poorer than, about the same as, or better than the comparison group. Only relative differences of at least 10% and statistically significant with p< 0.05 are discussed in this report; other differences are classified in the "about the same" category. For each group, the percent of measures for which the group received poorer quality care, similar quality care, or better quality care were then calculated.

Data on all measures were not available for all racial, ethnic, and socioeconomic groups. Table 1 lists quality measures available for the groups summarized in the report: blacks, Hispanics, Asians or Asian and Pacific Islanders (API), American Indians and Alaska Natives (AI/AN), Hispanics, and the poor. Tables 2-6 present findings related to the measures of effectiveness of health care with comparable data for 2000 and 2001 for Blacks compared with Whites (Table 2), Asians or API compared with Whites (Table 3), AI/AN compared with Whites (Table 4), Hispanics compared with Non-Hispanic Whites (Table 5), and Poor compared with High Income people (Table 6).

Table 1. Availability of measures of effectiveness of health care with comparable data for 2000 and 2001 for different racial, ethnic, and socioeconomic groups

Table 1. Availability of measures of effectiveness of health care with comparable data for 2000 and 2001 for different racial, ethnic, and socioeconomic groups (continued)

Table 2. Measures of effectiveness of health care with comparable data for 2000 and 2001 for Blacks compared with Whites.

Table 2. Measures of effectiveness of health care with comparable data for 2000 and 2001 for Blacks compared with Whites (continued).

Table 3. Measures of effectiveness of health care with comparable data for 2000 and 2001 for Asians or Asians and Pacific Islanders compared with Whites.

Table 4. Measures of effectiveness of health care with comparable data for 2000 and 2001 for American Indians or Alaska Natives compared with Whites.

Table 5. Measures of effectiveness of health care with comparable data for 2000 and 2001 for Hispanics compared with Non-Hispanic Whites.

Table 5. Measures of effectiveness of health care with comparable data for 2000 and 2001 for Hispanics compared with Non-Hispanic Whites (continued).

Table 6. Measures of effectiveness of health care with comparable data for 2000 and 2001 for Poor compared with High Income people.

 

 

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