Thirty-Day Readmission Rates for Medicare Beneficiaries by Race and Site of Care

作者: Karen E Joynt , E John Orav , Ashish K Jha

DOI: 10.1001/JAMA.2011.123

关键词:

摘要: Context Understanding whether and why there are racial disparities in readmissions has implications for efforts to reduce readmissions. Objective To determine black patients have higher odds of readmission than white these related where receive care. Design Using national Medicare data, we examined 30-day after hospitalization acute myocardial infarction (MI), congestive heart failure (CHF), pneumonia. We categorized hospitals the top decile proportion as minority-serving. determined compared with at minority-serving vs non–minority-serving hospitals. Setting Participants Provider Analysis Review files more 3.1 million fee-for-service recipients who were discharged from US 2006-2008. Main Outcome Measure Risk-adjusted readmission. Results Overall, had rates (24.8% 22.6%, ratio [OR], 1.13; 95% confidence interval [CI], 1.11-1.14; P  Conclusion Among elderly recipients, likely be readmitted 3 common conditions, a gap that was both race site care received.

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