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The effects of location and race on the performance of cardiac procedures

Martha Perryman1, Patrick A Rivers

  • 1School of Allied Health Sciences, Florida A & M University, USA.

Journal of Health Care Finance
|January 29, 2009
PubMed

Insights

Patient location and race significantly influenced cardiovascular procedure receipt in Florida for coronary artery disease patients in 2004. These factors are key to understanding disparities in cardiac care access.

Area of Science:

  • Cardiovascular Medicine
  • Health Services Research
  • Health Disparities

Background:

  • Coronary artery disease (CAD) management involves complex procedures.
  • Understanding factors influencing access to cardiovascular procedures is crucial for equitable healthcare.
  • Previous research has highlighted socioeconomic and demographic disparities in healthcare access.

Purpose of the Study:

  • To examine the association between patient and facility characteristics and patient outcomes for coronary artery disease.
  • To identify if patient location and race impact the likelihood of receiving specific cardiovascular procedures.
  • To analyze hospital administrative data to understand procedural trends in CAD patients.

Main Methods:

  • Utilized hospital financial and administrative data from Florida hospitals for patients discharged in 2004.
  • Focused on patients with principal diagnosis codes for circulatory system diseases.
  • Employed Chi-square analysis to assess the relationship between demographic factors and procedural receipt.

Main Results:

  • Patient location was significantly associated with the receipt of cardiovascular procedures (chi 2 = 225.9038, p < .0001).
  • Patient race was also significantly associated with the receipt of cardiovascular procedures (chi 2 = 312.1335, p < .0001).
  • These findings indicate demographic disparities in access to cardiac interventions.

Conclusions:

  • Patient location and race are significant predictors of receiving cardiovascular procedures for coronary artery disease.
  • The study highlights potential inequities in healthcare access and delivery for CAD patients.
  • Further research is warranted to explore the underlying causes of these disparities and inform targeted interventions.

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