Understanding Racial Differences in Access to Quality Cardiac Surgeons


Minority men and women are less likely than whites overall to receive diagnostic and therapeutic procedures for the treatment of heart disease. Moreover, a recent study found that minority patients who do undergo these life-saving procedures often do so in the hands of surgeons or in hospitals with higher risk-adjusted mortality rates. This project seeks to understand the dynamics that prevent minority patients from accessing high-quality cardiac surgeons. Specifically, it will analyze data for Medicare beneficiaries in New York State who underwent coronary artery bypass graft surgery to identify factors associated with referral to poorer-outcome surgeons and facilities. It will also examine whether a correlation exists between needing emergent surgery and receiving poorer-outcome surgical care, and whether minority patients receive poorer-outcome surgical care because they are hospitalized in facilities with a concentration of surgeons with higher risk-adjusted mortality rates. Project staff will identify numerous areas for future interventions to improve cardiac care for minority patients. http://www.uci.edu/

Grant Details

Grantee Organization:
University of California
Principal Investigator:
Dana B. Mukamel, Ph.D.
Award Amount:
Approval Date:
July 10, 2001

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