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  1. Fulltext. Racial and ethnic differences in the use of invasive cardiac procedures among cardiac patients in Los Angeles County, 1986 through 1988.

    Article - En anglais

    Fulltext.

    Objectives

    The purpose of the study was to compare use of invasive cardiovascular procedures among Latino, Asian, African-American, and White patients.

    Methods

    In a cross-sectional study of hospital discharge data, multiple logistic regression was used to model use of coronary artery angiography, bypass graft surgery, and angioplasty among adult Los Angeles County residents discharged from California hospitals between 1986 and 1988 with primary diagnoses consistent with possible ischemic heart disease.

    Results

    After potential demographic, socioeconomic, and clinical confounders, including hospital procedure volume, were controlled, Latinos were less likely than Whites to undergo angiography (odds ratio [OR]=0.90) and bypass graft surgery (OR=0.62) and angioplasty (OR=0.80).

    Asians were as likely as Whites to receive each procedure.

    The impact of adjustement for hospital procedure volume was greater for Latinos and Asians than for African Americans.

    Conclusions

    Administrative data suggest that disparities in use of invasive cardiovascular procedures are not limited to African Americans.

    Hospital procedure volume appears to be an important factor related to such disparities.

    The causes of racial/ethnic differences in reported procedure rates remain unclear.

    Mots-clés Pascal : Accessibilité, Soin, Cardiologie, Chirurgie, Radiodiagnostic, Appareil circulatoire pathologie, Homme, Race, Ethnie, Californie, Système santé, Hôpital, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Accessibility, Care, Cardiology, Surgery, Radiodiagnosis, Cardiovascular disease, Human, Race, Ethnic group, California, Health system, Hospital, United States, North America, America

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

    Cote : 95-0220403

    Code Inist : 002B30A01B. Création : 09/06/1995.