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  Vol. 261 No. 2, January 13, 1989 TABLE OF CONTENTS
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Racial Inequalities in the Use of Procedures for Patients With Ischemic Heart Disease in Massachusetts

Mark B. Wenneker, MD; Arnold M. Epstein, MD, MA

JAMA. 1989;261(2):253-257.


Abstract

To examine interracial differences in the utilization of coronary angiography, coronary artery bypass grafting, and coronary angioplasty for white and black patients, we examined all admissions for circulatory diseases or chest pain to Massachusetts hospitals in 1985. After controlling for age, sex, payer, income, primary diagnoses, and the number of secondary diagnoses, whites underwent significantly more angiography and coronary artery bypass grafting procedures. Whites also underwent more angioplasty procedures, but the difference was not statistically significant. Although utilization differences may reflect patient preference or different levels of disease severity and socioeconomic status not adequately accounted for, this study suggests that substantial racial inequalities exist in the use of procedures for patients hospitalized with coronary heart disease.

(JAMA 1989;261:253-257)



Author Affiliations

From the Department of Health Policy and Management, Harvard School of Public Health (Drs Wenneker and Epstein), and the Section on Health Services Research, Division of General Medicine, Department of Medicine, and the Department of Health Care Policy, Harvard Medical School (Dr Epstein), Boston.


Footnotes

Reprint requests to Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115 (Dr Epstein).



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