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Differences between Hispanics and non-Hispanic Whites in use of hospital procedures for cerebrovascular disease

Anne Elixhauser1, Robin M Weinick, Joseph R Betancourt

  • 1Agency for Healthcare Research and Quality, Rockville, MD 20852, USA. aelixhau@ahrq.gov

Ethnicity & Disease
|March 27, 2002
PubMed

Insights

Hispanic patients with cerebrovascular disease underwent more non-invasive diagnostic tests but fewer invasive diagnostic and therapeutic procedures. Hospital concentration of Hispanic patients influenced procedure use patterns.

Area of Science:

  • Neurology
  • Health Services Research
  • Health Disparities

Background:

  • Cerebrovascular disease affects diverse populations, with potential disparities in care.
  • Understanding procedural care differences is crucial for equitable treatment.

Purpose of the Study:

  • To examine disparities in diagnostic and therapeutic procedures for Hispanics with cerebrovascular disease compared to non-Hispanic Whites.
  • To identify factors influencing these procedural disparities.

Main Methods:

  • Cross-sectional study utilizing 1996 hospital administrative data from New York and California.
  • Compared procedure use (diagnostic and therapeutic) between Hispanic and non-Hispanic White patients with cerebrovascular disease.
  • Adjusted for patient and hospital characteristics, including hospital Hispanic patient concentration.

Main Results:

  • Hispanics showed higher utilization of non-invasive diagnostic procedures (CT, ultrasound, echocardiogram, MRI).
  • Hispanics had lower odds of undergoing invasive diagnostic tests (cerebral arteriogram) and therapeutic procedures (carotid endarterectomy).
  • Hospital concentration of Hispanic patients significantly altered observed procedural differences.

Conclusions:

  • Disparities in cerebrovascular disease procedure use exist between Hispanic and non-Hispanic White patients.
  • Hospital-level factors, specifically the concentration of Hispanic patients, are associated with differential patterns of care.
  • Addressing hospital-specific patient demographics may mitigate procedural disparities.
Abstract

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