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2011 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 6_2_3.2
Obstetric traumaa per 1,000 instrument-assisted vaginal deliveries,b by race/ethnicity, United States, 2008
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
Total 139.71.9147.
Median income of patient's ZIP CodeFirst quartile (lowest income)117.62.8125.93.875.84.8206.317.2107.95.2
Second quartile134.42.8142.23.673.15.9189.913.7113.95.7
Third quartile144.23.0155.73.794.37.3182.414.0105.55.6
Fourth quartile (highest income)160.33.6161.04.2106.69.4200.411.7132.78.6
Location of patient residenceLarge central metropolitan135.73.4151.
Large fringe metropolitan148.13.5148.93.994.76.4212.413.9135.09.0
Medium metropolitan146.04.3156.
Small metropolitan129.54.7139.95.655.68.8137.024.5112.711.9
Expected payment sourcePrivate insurance163.12.3168.12.7102.65.3214.210.2119.55.5
Other insurance138.48.9144.511.583.817.9232.251.0123.021.0
Uninsured/self-pay/no charge132.87.4144.213.0DSUDSU179.627.6117.19.2
Region of inpatient treatmentNortheast149.14.6144.55.2104.39.0227.818.8129.610.0
Ownership/control of hospitalPrivate, not for profit141.52.1147.32.484.74.0201.08.0110.24.5
Private, for profit123.84.7143.26.575.16.8164.518.395.95.7
Teaching status of hospitalTeaching154.64.1161.84.595.65.5214.910.8139.48.2
Location of hospitalLarge central metropolitan137.83.4154.
Large fringe metropolitan146.34.0144.
Medium metropolitan145.04.4156.
Small metropolitan131.04.6137.55.460.98.3142.324.7121.413.0
Bed size of hospitalLess than 100129.94.3132.94.643.79.4184.224.4103.28.6
500 or more157.25.1162.25.890.06.7222.317.0147.99.3

a. Consistent with the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software, obstetric trauma must involve 3rd or 4th degree lacerations.

b. Rates are adjusted by age using U.S. hospitalizations for 2000 as the U.S. standard population. When reporting is by age, there is no adjustment.

DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: API: Asian or Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2007, and AHRQ Quality Indicators, modified version 4.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Missouri, New Hampshire, New Jersey, Nevada, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.


Page last reviewed October 2014
Internet Citation: T6_2_3_2: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD.


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