Finlayson, Samuel R. G.
Abstract
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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| Item Type: | Article |
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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 |
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| 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.lib.umd.edu/id/eprint/632 |
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