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David H. Mark, MD,MPH

JAMA. 2001;285:337-338.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Because of concerns about differential access to and quality of health care in the United States, studies evaluating such factors as race and sex in relation to health care use and outcomes have achieved some prominence in the medical literature.^1-5 Although the effects of race and the many correlates of race such as insurance coverage and socioeconomic position are sometimes difficult to disentangle, many findings indicate that black patients are disadvantaged compared with others in receiving good health care. However, much of the existing research is unable to determine whether the differences in either utilization or outcomes observed between races is due to differences in severity of illness, differences in severity of comorbidities, cultural differences in attitudes toward health care, or racial bias.

Therefore, the study by Jha and colleagues⁶ in this issue of THE JOURNAL presents an unusual result that should cause revisiting some of . . . [Full Text of this Article]

Author Affiliation: Dr Mark is Contributing Editor, JAMA.

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