UNDERSTANDING RACIAL DISPARITIES IN HEALTH CARE

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UNDERSTANDING RACIAL DISPARITIES IN HEALTH
CARE Jan Basile, MD 12th Annual SMA Annual
Conference on Hypertension Reducing Global CV
Risk with an Emphasis on Ethnic Differences and
Disparities A Focus on Hypertension, Diabetes,
and Hyperlipidemia July 18, 2008
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(No Transcript)
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Trends in US Life Expectancy by Race Sex,
1975-2003
Harper et al. JAMA 2007
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CORONARY ANGIOPLASTY BYPASS SURGERY AFTER
CORONARY ANGIOGRAPHY
U.S. Medicare Enrollees, Age 65-74, 1987-88
Ayanian et al. JAMA 1993
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SURVIVAL FOR BLACK WHITE PATIENTS WITH CORONARY
DISEASEDuke University Medical Center, 1984-1992
Peterson et al. N Engl J Med 1997
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ACCESS FOR PATIENTS WANTING TRANSPLANT
Ayanian et al. N Engl J Med 1999
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RACIAL DISPARITIES IN QUALITY U.S. Medicare
Managed Care, 1997
Schneider et al. JAMA 2002
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CHOLESTEROL CONTROL FOR HEART DISEASE U.S.
Medicare Managed Care, 1999-2002
100
White
Black
80
White-Black Gap
60
Percent
40
16.3
13.3
12.7
13.2
20
0
1999
2000
2001
2002
Overall quality improved but racial disparity
persisted
Trivedi, Zaslavsky, Schneider Ayanian. N Engl J
Med 2005