Examining Racial and Ethnic Disparities in Care at High-Volume Hospitals

Studying the impact of different service providers on racial and ethnic disparities and outcomes

From May 2004 to December 2005, a team of researchers (based for most of the project at the Urban Institute) examined differences among racial and ethnic minorities and Whites in the use of hospitals treating high volumes of patients with certain conditions or of surgeons performing high volumes of certain procedures when high volumes improve outcomes. The researchers analyzed whether such differences in use could explain disparities in health care delivery and outcomes among the different groups of patients.

Results: The researchers produced four manuscripts (all unpublished as of September 2008):

  • "High Volume Hospital Use: Total Volume Trends and Responses by Hospitals and Payers."
  • "Patient Responses to Hospital Volume Thresholds: Quality Information, Fragmented Markets and Racial/Ethnic Disparities."
  • "Racial and Ethnic Differences in the Use of High Volume Hospitals and Surgeons."
  • "Racial and Ethnic Disparities in the Use of High-Volume Hospitals."

Key Findings: Since the papers were unpublished at the time of writing this report, the findings were unavailable.

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