Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sequential events contributing to variations in cardiac revascularization rates

J Blustein1, R R Arons, S Shea

  • 1Division of General Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, USA.

Medical Care
|August 1, 1995
PubMed
Summary

Racial and insurance disparities affect cardiac revascularization treatment at multiple care stages. Patients with private insurance had higher probabilities for receiving bypass surgery or angioplasty compared to uninsured individuals.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Assessment and treatment of pediatric behavioral sleep disorders in Canada.

Sleep medicine·2018
Same author

Self-reference in psychosis and depression: a language marker of illness.

Psychological medicine·2016
Same author

Change in neighborhood environments and depressive symptoms in New York City: the Multi-Ethnic Study of Atherosclerosis.

Health & place·2015
Same author

Association of caesarean delivery with child adiposity from age 6 weeks to 15 years.

International journal of obesity (2005)·2013
Same author

Blood pressure and chronic kidney disease progression in a multi-racial cohort: the Multi-Ethnic Study of Atherosclerosis.

Journal of human hypertension·2013
Same author

Eliciting general practitioners' salient beliefs towards prescribing: a qualitative study based on the Theory of Planned Behaviour in Greece.

Journal of clinical pharmacy and therapeutics·2013

Area of Science:

  • Health Services Research
  • Cardiovascular Medicine
  • Health Disparities

Background:

  • Existing research highlights race, payor, and gender influences on cardiac service utilization.
  • Less is known about specific care process points where utilization differences emerge.

Purpose of the Study:

  • To investigate the sequence of care phases influencing revascularization procedure use.
  • To identify disparities in treatment probabilities across different racial and payor groups.

Main Methods:

  • Analysis of a cohort of 5857 patients hospitalized with acute myocardial infarction in California in 1991.
  • Examination of four care phases: prehospital, intrahospital, interhospital, and posthospital.

Main Results:

Related Experiment Videos

  • Significant differences in treatment probabilities were observed across racial and payor groups in nearly all care phases.
  • Patients with private insurance showed higher likelihoods of initial hospital admission for revascularization, undergoing the procedure, transfer for revascularization, and readmission for revascularization compared to uninsured patients.

Conclusions:

  • Discrepancies in cardiac revascularization service use are cumulative effects of differential care processes across multiple phases.
  • Addressing these phase-specific disparities is crucial for improving equitable access to cardiac procedures.