Reducing Racial Disparities In Coronary Angiography
Racial disparities in cardiac services are well documented; however, policies to close these gaps have not been studied. This paper evaluates a New Jersey certificate-of-need reform to reduce disparities in diagnostic coronary angiography. The number of angiography facilities in New Jersey doubled f...
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| Published in: | Health Affairs Vol. 28; no. 5; pp. 1521 - 1531 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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United States
Health Affairs
01-09-2009
The People to People Health Foundation, Inc., Project HOPE |
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| Abstract | Racial disparities in cardiac services are well documented; however, policies to close these gaps have not been studied. This paper evaluates a New Jersey certificate-of-need reform to reduce disparities in diagnostic coronary angiography. The number of angiography facilities in New Jersey doubled following reform, and a large black-white disparity was eliminated-a trend not observed in nearby states. Surprisingly, increases in service to African American patients following reform were concentrated in hospitals licensed before reform, while the newly licensed facilities contributed relatively little to reducing disparities. We hypothesize that added hospital competition contributed to the reduction in disparities. |
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| AbstractList | Racial disparities in cardiac services are well documented; however, policies to close these gaps have not been studied. This paper evaluates a New Jersey certificate-of-need reform to reduce disparities in diagnostic coronary angiography. The number of angiography facilities in New Jersey doubled following reform, and a large black-white disparity was eliminated-a trend not observed in nearby states. Surprisingly, increases in service to African American patients following reform were concentrated in hospitals licensed before reform, while the newly licensed facilities contributed relatively little to reducing disparities. We hypothesize that added hospital competition contributed to the reduction in disparities. Racial disparities in cardiac services are well documented; however, policies to close these gaps have not been studied. This paper evaluates a New Jersey certificate-of-need reform to reduce disparities in diagnostic coronary angiography. The number of angiography facilities in New Jersey doubled following reform, and a large black-white disparity was eliminated-a trend not observed in nearby states. Surprisingly, increases in service to African American patients following reform were concentrated in hospitals licensed before reform, while the newly licensed facilities contributed relatively little to reducing disparities. We hypothesize that added hospital competition contributed to the reduction in disparities. [PUBLICATION ABSTRACT] |
| Author | Tiedemann, Amy Stanley, Ava Kronebusch, Karl Cantor, Joel C DeLia, Derek |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19738272$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1002_soej_12698 crossref_primary_10_1177_00469580241251937 crossref_primary_10_1161_CIR_0000000000001038 crossref_primary_10_1161_CIR_0000000000001039 crossref_primary_10_1016_j_ijcha_2022_100971 crossref_primary_10_1111_acem_14926 crossref_primary_10_1016_j_jacc_2021_09_006 crossref_primary_10_3390_jrfm15010010 crossref_primary_10_1016_j_jacc_2021_09_005 |
| Cites_doi | 10.1215/03616878-18-4-905 10.1016/0735-1097(94)90112-0 10.1016/S0002-8703(00)90017-6 10.1016/0167-6296(94)90027-2 10.7326/0003-4819-135-5-200109040-00012 10.1097/MLR.0b013e3180325b81 10.1016/S0002-8703(99)70154-7 10.1161/CIRCULATIONAHA.106.658377 10.2105/AJPH.92.9.1471 10.2105/AJPH.88.7.1089 10.2105/AJPH.85.3.352 |
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| Copyright | Copyright The People to People Health Foundation, Inc., Project HOPE Sep/Oct 2009 |
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| DOI | 10.1377/hlthaff.28.5.1521 |
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| Snippet | Racial disparities in cardiac services are well documented; however, policies to close these gaps have not been studied. This paper evaluates a New Jersey... |
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| SubjectTerms | Black or African American - statistics & numerical data Cardiac Care Facilities - standards Cardiac Care Facilities - statistics & numerical data Certificate of Need Coronary Angiography - standards Government Regulation Health care access Health care policy Health Care Reform Healthcare Disparities Heart surgery Hospital costs Hospitals Hospitals - standards Hospitals - statistics & numerical data Humans Inequality Licenses Licensure Medical imaging New Jersey Patients Pilot projects Race Racial differences Racial discrimination Regulatory reform State Government States Studies Trends White People - statistics & numerical data |
| Title | Reducing Racial Disparities In Coronary Angiography |
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