This paper measures current patterns of hospital segregation among Medicare beneficiaires.
Data from the fiscal year 1993 Medicare Provider Analysis and Review (MEDPAR) file, the index of dissimilarity, and a linear regression model are used to test the effects of standard metropolitan area characteristics on hospital segregation.
The overall hospital segregation index was 0.529 ranging by state from 0.154 to 0.746.
Hospital segregation in 126 standard metropolitan areas was positively related to population size, hospital density, and residential segregation and negatively related to income inequities and location in the South.
Racial segregation remains high and may produce both reporting biaises and unequal effects of public policy.
Mots-clés Pascal : Ségrégation, Discrimination, Race, Soin, Hôpital, Vieillard, Homme, Sortie hôpital, Variation géographique, Etats Unis, Amérique du Nord, Amérique, Assurance maladie, Medicare
Mots-clés Pascal anglais : Segregation, Discrimination, Race, Care, Hospital, Elderly, Human, Hospital discharge, Geographical variation, United States, North America, America, Health insurance
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0200584
Code Inist : 002B30A01B. Création : 11/09/1998.