Literature DB >> 15284050

Quality of care for women undergoing a hysterectomy: effects of insurance and race/ethnicity.

Rosemarie B Hakim1, M Beth Benedict, Nancy J Merrick.   

Abstract

OBJECTIVE: We assessed the quality of hospital care for women who underwent a hysterectomy to compare Medicaid-covered women with privately insured women and minority women with White women.
METHODS: We evaluated medical decisions, inpatient care, quality of inpatient care, and outcomes.
RESULTS: Quality of hospital care was equivalent for Medicaid-covered women compared with privately insured women and for non-Hispanic Black women compared with White women. Medicaid-covered women (40%) and Black women (68%) were more likely to have a complication compared with privately insured women and White women, respectively.
CONCLUSIONS: Increased complications after hysterectomy may result in increased economic burdens to Medicaid. Further studies of the racial/ethnic and sociodemographic issues are needed so that disparities may be adequately addressed.

Entities:  

Mesh:

Year:  2004        PMID: 15284050      PMCID: PMC1448462          DOI: 10.2105/ajph.94.8.1399

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


  27 in total

1.  Hospital volume and surgical mortality in the United States.

Authors:  John D Birkmeyer; Andrea E Siewers; Emily V A Finlayson; Therese A Stukel; F Lee Lucas; Ida Batista; H Gilbert Welch; David E Wennberg
Journal:  N Engl J Med       Date:  2002-04-11       Impact factor: 91.245

2.  The process and outcome of hospital care for Medicaid versus privately insured hospital patients.

Authors:  G J Young; B B Cohen
Journal:  Inquiry       Date:  1992       Impact factor: 1.730

3.  Differences in hospital resource allocation among sick newborns according to insurance coverage.

Authors:  P A Braveman; S Egerter; T Bennett; J Showstack
Journal:  JAMA       Date:  1991-12-18       Impact factor: 56.272

4.  Case mix and resource utilization by uninsured hospital patients in the Boston metropolitan area.

Authors:  J Weissman; A M Epstein
Journal:  JAMA       Date:  1989 Jun 23-30       Impact factor: 56.272

5.  Models for longitudinal data: a generalized estimating equation approach.

Authors:  S L Zeger; K Y Liang; P S Albert
Journal:  Biometrics       Date:  1988-12       Impact factor: 2.571

6.  Use of ambulatory medical care by the poor: another look at equity.

Authors:  J C Kleinman; M Gold; D Makuc
Journal:  Med Care       Date:  1981-10       Impact factor: 2.983

7.  Socioeconomic status and risk for substandard medical care.

Authors:  H R Burstin; S R Lipsitz; T A Brennan
Journal:  JAMA       Date:  1992-11-04       Impact factor: 56.272

8.  Encouraging preventive services for low-income children. The effect of expanding Medicaid.

Authors:  P F Short; D C Lefkowitz
Journal:  Med Care       Date:  1992-09       Impact factor: 2.983

9.  Physician ratings of appropriate indications for three procedures: theoretical indications vs indications used in practice.

Authors:  R E Park; A Fink; R H Brook; M R Chassin; K L Kahn; N J Merrick; J Kosecoff; D H Solomon
Journal:  Am J Public Health       Date:  1989-04       Impact factor: 9.308

10.  Accessibility and effectiveness of care under Medicaid.

Authors:  S F Jencks; M B Benedict
Journal:  Health Care Financ Rev       Date:  1990-12
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  17 in total

1.  Race differences in access to health care and disparities in incident chronic kidney disease in the US.

Authors:  Kira Evans; Josef Coresh; Lori D Bash; Tiffany Gary-Webb; Anna Köttgen; Kathryn Carson; L Ebony Boulware
Journal:  Nephrol Dial Transplant       Date:  2010-08-05       Impact factor: 5.992

Review 2.  Racial and ethnic disparities in benign gynecologic conditions and associated surgeries.

Authors:  Vanessa L Jacoby; Victor Y Fujimoto; Linda C Giudice; Miriam Kuppermann; A Eugene Washington
Journal:  Am J Obstet Gynecol       Date:  2010-04-28       Impact factor: 8.661

3.  Medicaid status is associated with higher surgical site infection rates after spine surgery.

Authors:  Mark W Manoso; Amy M Cizik; Richard J Bransford; Carlo Bellabarba; Jens Chapman; Michael J Lee
Journal:  Spine (Phila Pa 1976)       Date:  2014-09-15       Impact factor: 3.468

4.  Explaining ethnic disparities in patient safety: a qualitative analysis.

Authors:  Jeanine Suurmond; Ellen Uiters; Martine C de Bruijne; Karien Stronks; Marie-Louise Essink-Bot
Journal:  Am J Public Health       Date:  2010-02-10       Impact factor: 9.308

5.  Inpatient surgical treatment patterns for patients with uterine fibroids in the United States, 1998-2002.

Authors:  Edmund R Becker; James Spalding; Janeen DuChane; Ira R Horowitz
Journal:  J Natl Med Assoc       Date:  2005-10       Impact factor: 1.798

6.  Patient, surgeon, and hospital disparities associated with benign hysterectomy approach and perioperative complications.

Authors:  Ambar Mehta; Tim Xu; Susan Hutfless; Martin A Makary; Abdulrahman K Sinno; Edward J Tanner; Rebecca L Stone; Karen Wang; Amanda N Fader
Journal:  Am J Obstet Gynecol       Date:  2016-12-26       Impact factor: 8.661

7.  Racial and Insurance Status Disparities in Patient Safety Indicators among Hospitalized Patients.

Authors:  Jay J Shen; Christopher R Cochran; Olena Mazurenko; Charles B Moseley; Guogen Shan; Robin Mukalian; Scott Neishi
Journal:  Ethn Dis       Date:  2016-07-21       Impact factor: 1.847

8.  Socioeconomic indicators and hysterectomy status in the United States, 2004.

Authors:  Elisabeth A Erekson; Sherry Weitzen; Vivian W Sung; Christina A Raker; Deborah L Myers
Journal:  J Reprod Med       Date:  2009-09       Impact factor: 0.142

9.  Medicaid status is associated with higher complication rates after spine surgery.

Authors:  Jacques Hacquebord; Amy M Cizik; Sree Harsha Malempati; Mark A Konodi; Richard J Bransford; Carlo Bellabarba; Jens Chapman; Michael J Lee
Journal:  Spine (Phila Pa 1976)       Date:  2013-07-15       Impact factor: 3.468

10.  Insurance Type and Major Complications After Hysterectomy.

Authors:  Carolyn Weaver Swenson; Neil S Kamdar; Helen Levy; Darrell A Campbell; Daniel M Morgan
Journal:  Female Pelvic Med Reconstr Surg       Date:  2017 Jan/Feb       Impact factor: 2.091

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