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Coronary arteriography and coronary bypass survey among whites and other racial groups relative to hospital-based incidence rates for coronary artery disease: Findings from NHDS

Author

Listed:
  • Ford, E.
  • Cooper, R.
  • Castaner, A.
  • Simmons, B.
  • Mar, M.

Abstract

To assess racial differences in health care utilization for coronary artery disease (CAD) the data of the National Hospital Discharge Survey (NHDS) from 1979-84 were examined. Discharge rates for acute myocardial infarction (AMI) were utilized as a measure of hospital-based incidence and relative need for the designated cardiac procedures. Although 35-74 year old Black men had discharge rates of AMI that were 77 per cent of those observed for White men, they underwent coronary arteriography half as often and were only a third as likely to have coronary artery bypass graft (CABG) surgery. Black women in this age range were hospitalized at a slightly higher rate than White women for AMI, yet experienced a 19 per cent lower rate of coronary arteriography and a 52 per cent lower rate of CABG surgery. These data suggest a racial bias in the pattern of care delivered for CAD in US hospitals at the present time.

Suggested Citation

  • Ford, E. & Cooper, R. & Castaner, A. & Simmons, B. & Mar, M., 1989. "Coronary arteriography and coronary bypass survey among whites and other racial groups relative to hospital-based incidence rates for coronary artery disease: Findings from NHDS," American Journal of Public Health, American Public Health Association, vol. 79(4), pages 437-440.
    • Handle: RePEc:aph:ajpbhl:1989:79:4:437-440_1
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    Cited by:

    1. Dennis A. Bertram, 1994. "A Pilot Study To Estimate the Cost of a Telephone Survey of Rare Populations," Evaluation Review, , vol. 18(6), pages 718-729, December.

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