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National Healthcare Disparities Report, 2013

Chapter 8: Text Descriptions

Figure 8.1. Potentially avoidable hospitalization rates, by race/ethnicity and area income, 2001-2010

Race / Ethnicity / Income 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
White (rate per 100,000) 1,433 1,447 1,381 1,357 1,385 1,283 1,278 1,260 1,219 1,152
Black (rate per 100,000) 3,286 3,258 2,847 2,995 2,753 2,728 2,764 2,574 2,553 2,515
API (rate per 100,000) 1,051 1,073 1021 1,072 901 788 828 811 746 774
Hispanic (rate per 100,000) 1,712 2,126 2206 2,105 1,908 1,649 1,612 1,376 1,407 1,436
Quartile 1 (Lowest) (rate per 100,000) 2,107 2,141 2,211 2,084 2,090 2,073 1,988 1,946 1,932 1,843
Quartile 2 (rate per 100,000) 1,738 1,802 1,693 1,619 1,598 1,551 1,503 1,487 1,427 1,330
Quartile 3 (rate per 100,000) 1,403 1,507 1,406 1,338 1,376 1,288 1,272 1,248 1,206 1,171
Quartile 4 (rate per 100,000) (Highest) 1,317 1,263 1,203 1,193 1,249 1,155 1,076 1,097 1,054 949
Total (rate per 100,000) 1,635 1,684 1,614 1,559 1,562 1,502 1,458 1,433 1,395 1313

Key: API = Asian or Pacific Islander.
Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and State Inpatient Databases disparities analysis file, and AHRQ Quality Indicators, modified version 4.1, 2001-2010.
Denominator: U.S. resident population, age 18 and over.
Note: For this measure, lower rates are better. Annual rates are adjusted for age and gender. White, Black, and API are non-Hispanic. Income quartiles are based on median income of ZIP Code of patient's residence.
2008 Achievable Benchmark: 818

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Figure 8.2. Excess number of potentially preventable hospitalizations, by race/ethnicity, 2010

Race / Ethnicity White Black Hispanic
Expected at Best Rate (hospitalizations, 1000s) 1,266.0 213.0 257.5
Excess (hospitalizations, 1000s) 590.6 469.0 213.3

Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, HCUP State Inpatient Databases disparities analysis file, and AHRQ Quality Indicators, modified version 4.1, 2010.

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Figure 8.3. Excess number of potentially preventable hospitalizations, by income, 2010

  Quartile 1 (Lowest) Quartile 2 Quartile 3 Quartile 4 (Highest)
Expected at Best Rate (hospitalizations, 1000s) 462.4 453.0 459.6 463.7
Excess (hospitalizations, 1000s) 622.2 313.7 225.4 96.5

Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, and AHRQ Quality Indicators, modified version 4.1, 2010.

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Figure 8.4. Rate of emergency department visits with a principal diagnosis related to mental health and alcohol or substance abuse, per 100,000 population, by sex and area income, 2010

Sex / Area Income Mental Health Substance Abuse
Total (per 100,000) 1,197.0 510.0
Male (per 100,000) 1,137.0 704.0
Female (per 100,000) 1,255.0 321.0
Quartile 1 (Lowest) (per 100,000) 1,613.0 692.0
Quartile 2 (per 100,000) 1,287.0 499.0
Quartile 3 (per 100,000) 1,035.0 430.0
Quartile 4 (Highest) (per 100,000) 849.0 417.0

Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Emergency Department Sample, 2010.
Denominator: U.S. population.
Note: For this measure, lower rates are better. Substance abuse includes visits for co-occurring substance abuse and mental health disorders.

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Figure 8.5. Perforated appendixes per 1,000 admissions for appendicitis, age 18 and over, by race/ethnicity and area income, 2004-2010

Race / Ethnicity / Income 2004 2005 2006 2007 2008 2009 2010
White (per 1,000) 287.8 282.8 278.9 271.3 275.7 275.4 285.0
Black (per 1,000) 308.7 317.3 323.7 302.1 298.2 291.7 303.8
API (per 1,000) 266.8 270.3 271.5 268.5 261.9 262.7 286.2
Hispanic (per 1,000) 291.8 283.3 283.9 276.2 271.9 258.2 260.8
Quartile 4 (Highest) (per 1,000) 272.5 270.5 265.1 257.0 250.0 266.3 274.2
Quartile 3 (per 1,000) 291.0 280.7 282.4 283.4 268.0 278.7 286.0
Quartile 2 (per 1,000) 302.4 292.8 292.6 282.9 281.3 274.9 295.9
Quartile 1 (Lowest) (per 1,000) 313.9 305.1 311.1 300.0 286.4 282.3 294.7
Total (per 1,000) 293.8 286.2 286.3 280.0 270.1 275.2 287.0

Key: API = Asian or Pacific Islander.
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and State Inpatient Databases disparities analysis file, 2004-2010.
Note: For this measure, lower rates are better. White, Black, and API are non-Hispanic. Hispanic includes all races.

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Figure 8.6. Perforated appendixes per 1,000 admissions for appendicitis, age 18 and over, in IHS, Tribal, and contract hospitals, by age and sex, 2003-2011

Age / Sex 2003 2004 2005 2006 2007 2008 2009 2010 2011
18-44 (per 1,000) 263.6 268.7 254.8 247.8 275.4 219.8 263.5 208.9 204.8
45-64 (per 1,000) 453.2 415.9 469.8 356.2 509.7 387.9 407.9 424.6 361.0
65+ (per 1,000) 560.0 514.3 428.6 560.0 583.3 656.3 555.6 457.1 555.6
Total (per 1,000) 384.4 363.3 355.8 332.6 402.7 347.7 353.4 324.1 321.0
Male (per 1,000) 341.8 309.2 355.6 315.0 378.2 333.3 327.3 315.6 314.5
Female (per 1,000) 293.2 312.3 277.2 253.4 309.2 229.0 279.0 250.0 228.1

Source: Indian Health Service, National Patient Information Reporting System, National Data Warehouse, Workload and Population Data Mart, 2003-2011.
Note: For this measure, lower rates are better. The total for each year is age adjusted.

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Page last reviewed May 2014
Page originally created May 2014
Internet Citation: Chapter 8: Text Descriptions. Content last reviewed May 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/research/findings/nhqrdr/nhdr13/chap8-txt.html

 

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