Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 1998 Mar;88(3):461-3.
doi: 10.2105/ajph.88.3.461.

The racial segregation of hospital care revisited: Medicare discharge patterns and their implications

D B Smith  1
Affiliations

The racial segregation of hospital care revisited: Medicare discharge patterns and their implications

D B Smith. Am J Public Health. 1998 Mar.

Abstract

Objectives: This paper measures current patterns of hospital segregation among Medicare beneficiaries.

Methods: Data from the fiscal year 1993 Medicare Provider Analysis and Review (MEDPAR) file, the index of dissimilarity, and a linear regression model are used to test the effects of standard metropolitan area characteristics on hospital segregation.

Results: The overall hospital segregation index was 0.529, ranging by state from 0.154 to 0.746. Hospital segregation in 126 standard metropolitan areas was positively related to population size, hospital density, and residential segregation and negatively related to income inequities and location in the South.

Conclusions: Racial segregation remains high and may produce both reporting biases and unequal effects of public policy.

PubMed Disclaimer

References

    1. Bull Hist Med. 1986 Fall;60(3):367-86 - PubMed
    1. N Engl J Med. 1988 Jan 7;318(1):58-63 - PubMed
    1. Am J Public Health Nations Health. 1956 Sep;46(9):1074-81 - PubMed
    1. JAMA. 1994 Apr 20;271(15):1169-74 - PubMed
    1. N Engl J Med. 1996 Sep 12;335(11):791-9 - PubMed

Publication types

MeSH terms