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  1. Gender and ethnic differences in hospital-based procedure utilization in California.

    Article - En anglais

    Objective 

    To examine several hospital-based procedures for systematic utilization differences between the genders and among ethnic groups (Asian, black, Latino, and white).

    Methods 

    California hospital discharges in 1989 and 1990 were sampled by principal diagnosis.

    Odds ratios for treatment by demographic class were estimated for heart transplantation, kidney transplantation, extracorporeal shockwave lithotripsy, hip replacement, carotid endarterectomy, coronary artery bypass grafting, percutaneous transluminal coronary angioplasty, pacemaker implant, and automatic cardioverter-defibrillator implant.

    Logistic regression controlled for insurance status, age, diagnosis, and comorbidity count.

    Results 

    The following results were statistically significant (P<. 05).

    Males'odds of receiving most procedures exceeded those of females by 115% (odds ratio, 2.15) for coronary artery bypass grafting, 86% for heart transplantation, 38% for defibrillator implants, 34% for angioplasty, 28% for pacemaker implants, and 24% for hip replacement.

    Whites'odds of receiving several procedures exceeded those of blacks by 204% for kidney transplantation, 186% for defibrillator implant, 144% for coronary artery bypass grafting, 127% for endarterectomy, and 100% for angioplasty.

    Whites'odds of receiving some procedures also exceeded those of Latinos by 72% for angioplasty, 58% for kidney transplantation, and 49% for coronary artery bypass grafting. (...)

    Mots-clés Pascal : Hospitalisation, Médecine, Chirurgie, Utilisation, Sexe, Race, Etude statistique, Homme, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Hospitalization, Medicine, Surgery, Use, Sex, Race, Statistical study, Human, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0308204

    Code Inist : 002B30A04A. Création : 10/04/1997.