Finlayson, Samuel R. G.
IN THIS ISSUE OF JAMA, LIU AND COLLEAGUES1 REPORT THAT for several surgical procedures, a disproportionately small number of ethnic minorities and poorly insured patients receive care in high-volume hospitals, where quality of care is assumed to be superior. The authors suggest that there is a need for explicit measures to address this disparity. Although intuitively appealing, the authors’ observations and suggestions implicitly embrace 2 assumptions that deserve closer scrutiny: (1) ethnic minority and poorly insured patients would want to go to high-volume hospitals if they knew the benefits and could overcome barriers to access, and (2) volume-based referral policies are a good way to improve surgical quality.
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|Additional Information:||Access to full text is subject to the publisher's access restrictions.|
|Uncontrolled Keywords:||high-volume hospitals, ethnic minorities, poorly insured patients, barriers to access, operative risk|
|Subjects:||Health > Health Equity|
Health > Health Equity > Access To Healthcare
Health > Disparities
|Depositing User:||Users 141 not found.|
|Date Deposited:||02 Apr 2011|
|Last Modified:||19 May 2011 15:41|
|Link to this item (URI):||http://health-equity.pitt.edu/id/eprint/632|
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